BRIDGET LARSON (NPI# 1629235148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629235148 |
| Entity Type | Individual |
| Full Name | BRIDGET LARSON |
| Credential | APRN CNS |
| Practice Address |
268 Stillwater Avenue Acadia Hospital Corp Bangor ME 04401 |
| Mailing Address |
Po Box 422 Acadia Hospital Corp Bangor ME 04402-0422 |
| Practice Telephone | 2079736100 |
| Practice Fax Number | 2079736109 |
| Mailing Telephone | 2079736100 |
| Mailing Fax Number | 2079736109 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
R022033 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386925253 | Bridget Kelly Larson | Pharmacist | 127 E Pleasant Vly, Seven Hills, OH 44131-5601 | 2011-09-06 |
| 1285993725 | Bridget K Larson | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215 | 2012-05-03 |
| 1194036962 | Bridget Larson | Psychologist | 2501 Capehart Road, Offutt, NE 68133 | 2010-06-27 |
| Street Address |
268 STILLWATER AVENUE ACADIA HOSPITAL CORP |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255314621 | Anthony Taiwai Ng | Psychiatry & Neurology | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2005-11-21 |
| 1912299694 | Courtney E Evans | Counselor | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2011-05-12 |
| 1922311620 | Martha A Eastman | Nurse Practitioner | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2010-07-22 |
| 1710203328 | Jesse M. Higgins | Nurse Practitioner | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2010-04-08 |
| 1477878601 | Daniel E Hoyt | Social Worker | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2010-03-31 |
| 1992037980 | Matthew D Tolman | Psychologist | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2010-02-02 |
| 1003141052 | Rodney St. Louis | Social Worker | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2009-10-08 |
| 1326373473 | Susan Wengrzynek | Social Worker | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2009-10-07 |
| 1962737015 | James B Mccormack | Counselor | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2009-10-07 |
| 1518292879 | Laureen Ann Frost | Counselor | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2009-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265408777 | Jennie S. Dubosky | Clinical Nurse Specialist | 1068 Union St, Bangor, ME 04401 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306009238 | Anne C Williams | Clinical Nurse Specialist | 147 Mt. Pleasant St., West Rockport, ME 04865-0116 | 2008-07-10 |
| 1710021829 | Penelope Reilly | Clinical Nurse Specialist | 222 St John Street Suite 102, Portland, ME 04102 | 2007-02-20 |
| 1700996063 | Umbrella Mental Health Services, Pa | Clinical Nurse Specialist | 73 Biscay Rd, Damariscotta, ME 04543-4614 | 2006-08-30 |
| 1295049716 | Suellen Chaplin-beckett | Clinical Nurse Specialist | 2 Springbrook Dr, Biddeford, ME 04005-9443 | 2010-07-27 |
| 1619006145 | Carol Ann Niziolek | Clinical Nurse Specialist | 121 Middle St, Suite 404, Portland, ME 04101-4156 | 2007-03-02 |
Please comment or provide details below to improve the information on BRIDGET LARSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.