Individual
MS. MELISSA BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8360
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26022
SC
363LF0000X
Family Nurse Practitioner
340643
NY
363LF0000X
Family Nurse Practitioner
5012551
NC
363LF0000X
Family Nurse Practitioner
Primary
63520
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63520
STATE LICENSE
NM
Enumeration date
06/03/2016
Last updated
12/19/2024
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