Individual
NATHAN L. BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1001 MAIN ST STE 400, PEORIA, IL 61606-2036
(309) 308-0920
Mailing address
1001 MAIN ST STE 400, PEORIA, IL 61606-2036
(309) 308-0920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019391
IL
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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