Bridget Annette Enos | Minnetonka, MN • PECOS Search

Bridget Annette Enos

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343-9664

PECOS Enrollment

Based on the most recent information from CMS, provider Bridget Annette Enos does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1891044731
Provider Type
Individual
Full Name
Enos, Bridget Annette
Credential
DNP, APRN, FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/6/2012
Last Updated
6/29/2020

Contact Information

Practice Location

9900 Bren Road East, Mail Route Mn 008-B213, Minnetonka, MN 55343-9664

Unlisted Fax

Mailing Location

9900 Bren Rd E, Mail Route Mn 55343, Minnetoka, MN 55343-9664

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 0024170206 Virginia