Individual
PAULA JEAN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 888-0499
Mailing address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 888-0499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A065261
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00451476
MEDICARE RAILROAD
—
Enumeration date
08/30/2007
Last updated
05/17/2021
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