Individual
BRENDA L BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
32060-31
Contact information
Practice address
1610 MILLER PARK WAY, MILWAUKEE, WI 53214-3604
(262) 549-6600
Mailing address
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188-6105
(262) 549-6600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32060-31
WI
Other
Enumeration date
10/17/2011
Last updated
12/04/2014
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