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Individual

BRYSON BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 231-8772
(717) 231-8435
Mailing address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317

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
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