Healthcare Provider Details

I. General information

NPI: 1437965191
Provider Name (Legal Business Name): BRIDGES HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2024
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 ERRECART BLVD STE 207
ELKO NV
89801-8337
US

IV. Provider business mailing address

1995 ERRECART BLVD STE 207
ELKO NV
89801-8337
US

V. Phone/Fax

Practice location:
  • Phone: 775-234-5883
  • Fax: 775-738-7177
Mailing address:
  • Phone: 775-234-5883
  • Fax: 775-738-7177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NORAH LUSK
Title or Position: CO-OWNER
Credential:
Phone: 775-340-1088