Individual
MARCUS BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0001
(253) 219-6632
Mailing address
201 STATE ST, ERIE, PA 16550-0001
(253) 219-6632
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN729035
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN729035
PA RN LICENSE
PA
Enumeration date
02/27/2023
Last updated
02/27/2023
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