Individual
MR. RYAN BLANE BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, AGACNP-BC
Contact information
Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 447-2211
Mailing address
7000 N MO PAC EXPY STE 420, AUSTIN, TX 78731-3055
(512) 482-0045
(512) 476-9892
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP126716
TX
Other
Enumeration date
09/24/2014
Last updated
10/30/2019
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