Basic Information
Provider Information
NPI: 1881640696
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRIDEN
FirstName: LINDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 85 APPLE RD
Address2:  
City: BRISTOL
State: CT
PostalCode: 060103002
CountryCode: US
TelephoneNumber: 8602615450
FaxNumber:  
Practice Location
Address1: 99 EAST RIVER DR. 5TH FLOOR
Address2: HARTFORD ANESTHESIA ASS. INC
City: EAST HARTFORD
State: CT
PostalCode: 06108
CountryCode: US
TelephoneNumber: 8602820833
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/25/2006
LastUpdateDate: 03/13/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X20429CTY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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