Healthcare Provider Details

I. General information

NPI: 1598091944
Provider Name (Legal Business Name): BRIDGET CHRISTINE CONLEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIDGET CHRISTINE BOZLEE PA-C

II. Dates (important events)

Enumeration Date: 10/20/2009
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2090 SMOKETREE AVE N
LAKE HAVASU CITY AZ
86403-5806
US

IV. Provider business mailing address

2090 SMOKETREE AVE N
LAKE HAVASU CITY AZ
86403-5806
US

V. Phone/Fax

Practice location:
  • Phone: 928-854-1800
  • Fax: 928-854-1847
Mailing address:
  • Phone: 928-854-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: