Individual
CHRISTIAN NOELLE BRYSON LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
397 E HENRY ST, SPARTANBURG, SC 29302-2639
(864) 641-6632
Mailing address
397 E HENRY ST, SPARTANBURG, SC 29302-2639
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
219568
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219568
SC RN
SC
Enumeration date
06/04/2021
Last updated
06/04/2021
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