Individual
MS. CAROL BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM NP PP
Contact information
Practice address
1672 CHURCH AVE, MCKINLEYVILLE, CA 95519-2504
(530) 625-4349
Mailing address
1672 CHURCH AVE, MCKINLEYVILLE, CA 95519-4203
(530) 625-4349
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
447699
CA
176B00000X
Midwife
200510068NP
OR
176B00000X
Midwife
Primary
NMW1244
CA
363L00000X
Nurse Practitioner
200150068NP
OR
367A00000X
Advanced Practice Midwife
279942
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000853
—
OR
Enumeration date
11/28/2006
Last updated
10/11/2012
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