Provider Demographics
NPI:1144057332
Name:BRIDGEMAN, SARAH (NTP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BRIDGEMAN
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1887 HARTLAND CT
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-2501
Mailing Address - Country:US
Mailing Address - Phone:270-625-3966
Mailing Address - Fax:270-625-3966
Practice Address - Street 1:1887 HARTLAND CT
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-2501
Practice Address - Country:US
Practice Address - Phone:270-625-3966
Practice Address - Fax:270-625-3966
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist