Individual
MICHAELLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 QUEENS RD STE 610&640, CHARLOTTE, NC 28204-3278
(980) 302-6600
(980) 302-6605
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016113
NC
363L00000X
Nurse Practitioner
743758
TX
363L00000X
Nurse Practitioner
8039
MN
Other
Enumeration date
09/24/2010
Last updated
10/31/2025
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