Individual
MRS. CAROLYN A BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
74849
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9451823
FL
367500000X
Certified Registered Nurse Anesthetist
RN217196
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111299A
—
GA
05
—
101132800
—
FL
01
—
580628385
TRICARE
GA
01
—
620565
WELLCARE
GA
01
—
P00974688
RAILROAD MEDICARE
GA
Enumeration date
01/26/2009
Last updated
01/24/2019
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