MEDICARE: MS. BRIDGET COLLIER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN95269483	CA

General Provider Information

NPI Number	:	1467393322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRIDGET COLLIER RN

Provider Business Mailing Address
First Line	:	422 W ROUTE 66 UNIT 34
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91740-4376
Country	:	US
Telephone Number	:	626-394-1934
Fax Number	:

Provider Business Practice Location Address
First Line	:	422 W ROUTE 66 UNIT 34
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91740-4376
Country	:	US
Telephone Number	:	626-394-1934
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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Directions to “ MS. BRIDGET COLLIER RN” Practice Location

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