THE BRIDGE GROUP OF ARIZONA LLC NPI 1811386287

NPI Information

NPI: 1811386287
Provider Name: THE BRIDGE GROUP OF ARIZONA, LLC
Classification: Registered Nurse - 163WG0000X
Entity Type: Organization

Specialization: General Practice

Address:
1237 S VAL VISTA DR
MESA, AZ
ZIP 85204
Phone: (480) 776-3390
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THE BRIDGE GROUP OF ARIZONA, LLC is a general practice registered nurse in Mesa, AZ. THE BRIDGE GROUP OF ARIZONA, LLC NPI is 1811386287. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1237 S VAL VISTA DR
MESA, AZ
ZIP 85204-401
Phone: (480) 776-3390
Fax: (480) 396-0532

The provider's authorized official is Tim Willis .
The authorized official title is Ceo and has the following contact phone number (928) 671-1750.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 2/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	163WG0000X	Registered Nurse	General Practice			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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