Arlene Bridgers, LPN

Individual provider Active NPI Licensed Practical Nurse · Kingman, AZ

NPI 1003676024 · NPPES record last updated Mar 19, 2024

Key facts

NPI
1003676024
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
240657 (AZ)
Practice address
1115 N Stockton Hill Rd Ste 103
Kingman, AZ 86401-6232
Phone
(928) 565-6599
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
240657AZMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Services Arizona-Private, LLC Current
since Jun 1, 2024
Accepting new patients

Locations

1115 N Stockton Hill Rd
Ste 103
Kingman, AZ 86401
Phone (928) 565-6599

8444 N 90th St
Ste 100
Scottsdale, AZ 85258
Phone (480) 494-2497

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 240657 AZ Yes

Addresses

Primary practice location

1115 N Stockton Hill Rd Ste 103
Kingman, AZ 86401-6232

Mailing address

8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437

Other providers in Kingman, AZ

All providers in Kingman, AZ · Licensed Practical Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.