Individual
MRS. MICHELLE LORENE BRYANT-ALBRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 S ADAMS ST, PETERSBURG, VA 23803-5149
(804) 957-6106
Mailing address
4704 ASHBURG DR, GLEN ALLEN, VA 23060-9230
(804) 935-0405
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0110001220
VA
363A00000X
Physician Assistant
Primary
0110001220
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001220
PA LICENSE
VA
Enumeration date
08/15/2006
Last updated
01/06/2020
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