Individual
NYTASHIA BERRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, WHNP
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP130792
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP9236047
FL
Other
Enumeration date
07/06/2015
Last updated
11/11/2016
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