Individual
MRS. ERIN B BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 HELMWOOD PLAZA DR, ELIZABETHTOWN, KY 42701-2975
(270) 763-6363
Mailing address
20 CANARY DR, ELIZABETHTOWN, KY 42701-8538
(270) 763-6363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3103P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373492
ANTHEM PIN
KY
01
—
00485
MEDICARE GROUP #
KY
01
—
11350657
CAQH ID #
KY
Enumeration date
05/11/2006
Last updated
12/13/2007
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