Provider Demographics
NPI:1730427394
Name:BRIDGES, MICHELLE (C-WHNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:C-WHNP
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:BRIDGES
Other - Last Name:CASSEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:6214 HIGHWAY 10
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:LA
Mailing Address - Zip Code:70441-3934
Mailing Address - Country:US
Mailing Address - Phone:225-222-3206
Mailing Address - Fax:225-222-3190
Practice Address - Street 1:6214 HIGHWAY 10
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:LA
Practice Address - Zip Code:70441-3934
Practice Address - Country:US
Practice Address - Phone:225-222-3206
Practice Address - Fax:225-222-3206
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05631363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA109866OtherLICENSE #
LA2355643Medicaid
LA05631OtherAPRN LICENSE