Provider Demographics
NPI:1487478392
Name:WEISHAAR, BRIDGETTE R (RN)
Entity type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:R
Last Name:WEISHAAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-1671
Mailing Address - Country:US
Mailing Address - Phone:402-427-2830
Mailing Address - Fax:
Practice Address - Street 1:1326 PARK ST
Practice Address - Street 2:
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-1671
Practice Address - Country:US
Practice Address - Phone:402-427-2830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE85111163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health