Healthcare Provider Details

I. General information

NPI: 1467998971
Provider Name (Legal Business Name): BRIDGET BERTRAND HODGES FNP-C, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIDGET ANNA BERTRAND RN

II. Dates (important events)

Enumeration Date: 01/09/2017
Last Update Date: 03/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54002 HIGHWAY 1062
LORANGER LA
70446-3538
US

IV. Provider business mailing address

7777 BLUEBONNET BLVD STE 100
BATON ROUGE LA
70810-1632
US

V. Phone/Fax

Practice location:
  • Phone: 225-683-5292
  • Fax: 225-683-1310
Mailing address:
  • Phone: 225-766-9091
  • Fax: 225-766-9317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09069
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: