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Contact Information

TYLER A BRIDGEWATER, FNP-C
401 S 400 E
BOUNTIFUL, UT84010-4933
 Phone: 801-295-2361
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TYLER A BRIDGEWATER · (Male)

NPI Number 1215378377
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 07/17/2013
Last updated 07/17/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 7078841-4405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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