Healthcare Provider Details

I. General information

NPI: 1659762243
Provider Name (Legal Business Name): BRIDGET TRYGAR R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIDGET FRANTZ LVN

II. Dates (important events)

Enumeration Date: 02/18/2015
Last Update Date: 02/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 WALNUT AVE
CARPINTERIA CA
93013-2028
US

IV. Provider business mailing address

931 WALNUT AVE
CARPINTERIA CA
93013-2028
US

V. Phone/Fax

Practice location:
  • Phone: 805-560-1058
  • Fax: 805-560-1051
Mailing address:
  • Phone: 805-560-1058
  • Fax: 805-560-1051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number350864
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: