Bridget A McGregor, RN

Individual provider Active NPI Registered Nurse · Niantic, CT

NPI 1972192029 · NPPES record last updated Jan 13, 2021

Key facts

NPI
1972192029
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
123759 (CT)
Practice address
20 Luce Ave
Niantic, CT 06357-2508
Phone
(401) 338-9914
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
123759CTMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 123759 CT Yes

Addresses

Primary practice location

20 Luce Ave
Niantic, CT 06357-2508

Mailing address

20 Luce Ave
Niantic, CT 06357-2508
Phone (401) 338-9914

Other providers in Niantic, CT

All providers in Niantic, CT · Registered Nurse in Connecticut

Sources for this page

Verify at the official NPI Registry.