Individual
WANDA MARIE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
601 BROOKER CREEK BLVD, OLDSMAR, FL 34677-2962
(813) 294-9031
Mailing address
4802 CHARRO LN, PLANT CITY, FL 33565-3610
(813) 982-0999
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP 2995732
FL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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