Provider Demographics
NPI:1144688102
Name:ROSS-FITZGIBBONS, BRIDGET M (APRN, AGNP-C)
Entity type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:M
Last Name:ROSS-FITZGIBBONS
Suffix:
Gender:F
Credentials:APRN, AGNP-C
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Mailing Address - Street 1:180 CHURCH HILL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:ME
Mailing Address - Zip Code:04263-3418
Mailing Address - Country:US
Mailing Address - Phone:207-524-3501
Mailing Address - Fax:207-524-2093
Practice Address - Street 1:25 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:BRIDGTON
Practice Address - State:ME
Practice Address - Zip Code:04009-1167
Practice Address - Country:US
Practice Address - Phone:207-524-3501
Practice Address - Fax:207-647-4000
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2022-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH074640-23363L00000X, 363LG0600X
MECNP211325363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology