Individual
MRS. NATALIE GAYLE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
928 N GLENWOOD BLVD, TYLER, TX 75702
(903) 535-9041
Mailing address
PO BOX 844273, DALLAS, TX 75284-4273
(903) 535-9041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP125713
TX
363LA2200X
Adult Health Nurse Practitioner
RN152834
GA
363LW0102X
Women's Health Nurse Practitioner
Primary
853818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335762601
—
TX
05
—
335762602
—
TX
01
—
45-2578435-001
TRICARE
TX
01
—
45-2578435-002
TRICARE
TX
01
—
45-2578435-006
TRICARE
TX
01
—
693446
MEDICARE
TX
01
—
8917NK
BCBS
TX
01
—
8JM919
BCBS
TX
Enumeration date
08/27/2007
Last updated
09/24/2024
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