Individual
MR. NICHOLAS MICHAEL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 383-2000
(702) 207-8369
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102
(702) 383-2000
(702) 804-3788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1818
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033656863
—
NV
Enumeration date
01/31/2017
Last updated
09/30/2024
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