Individual
BRYSON BROWN
Active
Individual
BRYSON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN616382
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP016289
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103158236
—
PA
Enumeration date
08/02/2016
Last updated
01/16/2021
Update your record
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