Provider Demographics
NPI:1033922299
Name:NELSON, BRIDGET KATHLEEN (RN, BSN)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:KATHLEEN
Last Name:NELSON
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:KATHLEEN
Other - Last Name:JENSEN/HAWK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2800 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0703
Mailing Address - Country:US
Mailing Address - Phone:406-435-6101
Mailing Address - Fax:406-435-1559
Practice Address - Street 1:2800 10TH AVE N
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0703
Practice Address - Country:US
Practice Address - Phone:406-435-6101
Practice Address - Fax:406-435-1559
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-RN-LIC-162156163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse