Individual provider · Type 1 NPI

Shane Bridgman, DNP, APRN, AGNP-BC

Adult Health Nurse Practitioner · Grand Island, FL

NPI number 1447762380 Active

Practice location

36624 Grand Island Oaks Cir
Grand Island, FL 32735-9653

Fax (908) 274-2081

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X2024045190 (MO)
Nurse Practitioner 363L00000X291383 (AZ)
Nurse Practitioner 363L00000X1112411 (TX)
Nurse Practitioner 363L00000X4035372 (KY)
Nurse Practitioner 363L00000X209028336 (IL)
Nurse Practitioner 363L00000X0033013 (OH)
Nurse Practitioner 363L00000X29997 (SC)
Nurse Practitioner 363L00000X38021 (TN)
Nurse Practitioner 363L00000XSP032050 (PA)
Adult Health Nurse Practitioner Primary 363LA2200XAPRN9325995 (FL)
Nurse Practitioner 363L00000X3-001918 (AL)
Nurse Practitioner 363L00000XC-APN.0102962-C-NP (CO)
Gerontology Nurse Practitioner 363LG0600XAPRN9325995 (FL)
Nurse Practitioner 363L00000X10040595 (OR)
Nurse Practitioner 363L00000X907225 (MS)

Adult Health Nurse Practitioner: Definition to come...

2 other providers at this address

About NPI 1447762380

Shane Bridgman, DNP, APRN, AGNP-BC's National Provider Identifier is 1447762380, issued on Nov 1, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Grand Island, FL. The record was last updated on Dec 15, 2025.