Individual
JENNIFER L BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-5000
(319) 272-5264
Mailing address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-5000
(319) 272-5264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
092935
IA
367500000X
Certified Registered Nurse Anesthetist
136390
MO
367500000X
Certified Registered Nurse Anesthetist
54993
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
D-092935
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255308037
—
IA
05
—
1255308037
—
MO
Enumeration date
03/01/2006
Last updated
08/25/2020
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