Individual
KRISTINA ANNE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
610 N COURT ST., GRAYVILLE, IL 62844
(618) 375-7101
(618) 375-7183
Mailing address
610 N COURT ST., GRAYVILLE, IL 62844
(618) 375-7101
(618) 375-7183
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013299
IL
Other
Enumeration date
09/11/2015
Last updated
09/09/2022
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