Healthcare Provider Details

I. General information

NPI: 1184559783
Provider Name (Legal Business Name): NINA MARIE BRIDGES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. NINA MARIE EDWARDS

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 SCHILLINGER RD S APT 4003
MOBILE AL
36695-9866
US

IV. Provider business mailing address

945 SCHILLINGER RD S APT 4003
MOBILE AL
36695-9866
US

V. Phone/Fax

Practice location:
  • Phone: 251-648-1841
  • Fax:
Mailing address:
  • Phone: 251-648-1841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License NumberF03260196
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: