Individual
MRS. KARLA JEAN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5602 RUDDELL RD SE, LACEY, WA 98503
(360) 438-0394
(360) 493-0824
Mailing address
5602 RUDDELL RD SE, LACEY, WA 98503
(360) 438-0394
(360) 493-0824
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003185
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9676848
—
WA
Enumeration date
03/22/2006
Last updated
10/03/2007
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