NICOLE M NELSON-BRIDGES (NPI# 1164674420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164674420 |
| Entity Type | Individual |
| Full Name | NICOLE M NELSON-BRIDGES |
| Credential | PA-C |
| Practice Address |
4881 E Grant Rd Ste 101 Tucson AZ 85712-2704 |
| Practice Telephone | 5203186035 |
| Practice Fax Number | 5207959953 |
| Mailing Telephone | 5203186035 |
| Mailing Fax Number | 5207959953 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4293 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6567 E Carondelet Dr Ste 305, Tucson, AZ 857102156 | 5208818400 |
| Street Address |
4881 E GRANT RD STE 101 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760967384 | Nichole A Laux | Nurse Practitioner | 4881 E Grant Rd Ste 101, Tucson, AZ 85712-2704 | 2018-09-28 |
| 1619407533 | Pain Institute of Southern Arizona Pisa PC | Anesthesiology | 4881 E Grant Rd Ste 101, Tucson, AZ 85712-2704 | 2017-06-13 |
| 1871989301 | Christopher Harold Bailey | Internal Medicine | 4881 E Grant Rd Ste 101, Tucson, AZ 85712-2704 | 2015-04-10 |
| 1043605066 | Marco Duran | Anesthesiology | 4881 E Grant Rd Ste 101, Tucson, AZ 85712-2704 | 2015-04-06 |
| 1629485438 | Lindsay Brooke Carter | Nurse Practitioner | 4881 E Grant Rd Ste 101, Tucson, AZ 85712-2704 | 2014-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
| 1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
| 1982084562 | Cj Surgical Assisting | Physician Assistant | 9420 E. Golf Links Rd., Ste 108 #138, Tucson, AZ 85730-1317 | 2015-06-09 |
| 1073901492 | Claudia Y Coello-rasoumoff | Physician Assistant | 2803 E 5th St, Tucson, AZ 85716-4433 | 2015-01-07 |
| 1902211600 | David Ybarbo Flores | Physician Assistant | 7853 N Kristin Pl, Tucson, AZ 85741-3926 | 2014-06-22 |
| 1417369729 | Caitlin Marie Harper | Physician Assistant | 9685 E Paseo San Ardo, Tucson, AZ 85747 | 2014-05-21 |
| 1205257359 | Carolyn Jones | Physician Assistant | 5963 E Franklin Tale Dr, Tucson, AZ 85756-8653 | 2013-12-16 |
| 1376886135 | Diane M Williams | Physician Assistant | 6336 N Oracle Rd # 326245, Tucson, AZ 85704-5480 | 2013-03-30 |
| 1740524123 | April Hanna, Pa-c Pllc | Physician Assistant | 12121 E Barbary Coast Rd, Tucson, AZ 85749-8443 | 2012-11-25 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.