Individual
KRYSTAL BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
31700 VAN DYKE AVE STE H, WARREN, MI 48093-7949
(586) 445-2911
Mailing address
3547 TIMBER LANE DR, JACKSON, MI 49203-3627
(734) 837-1568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704280108
MI
363L00000X
Nurse Practitioner
Primary
4704280108
MI
Other
Enumeration date
07/23/2018
Last updated
05/02/2022
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