Individual
TAMARA SUZETTE BRYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1475 BLACKMORE RD, CLEVELAND HEIGHTS, OH 44118-1314
(216) 312-5857
Mailing address
1475 BLACKMORE RD, CLEVELAND HEIGHTS, OH 44118-1314
(216) 312-5857
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN308579
OH
163WC0400X
Case Management Registered Nurse
RN308579
OH
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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