Healthcare Provider Details

I. General information

NPI: 1497500359
Provider Name (Legal Business Name): BRIDGET MICHELLE ZIEGLER PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIDGET MICHELLE SIMMONS

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5412 COURSEVIEW DR STE 215
MASON OH
45040-2410
US

IV. Provider business mailing address

5412 COURSEVIEW DR STE 215
MASON OH
45040-2410
US

V. Phone/Fax

Practice location:
  • Phone: 513-204-1910
  • Fax: 513-548-1556
Mailing address:
  • Phone: 513-204-1910
  • Fax: 513-548-1910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0036278
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: