Individual
STEPHANIE M BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
21 FULLER ST APT 1, WALTHAM, MA 02453-5082
(857) 247-6660
Mailing address
21 FULLER ST APT 1, WALTHAM, MA 02453-5082
(857) 247-6660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2291472
MA
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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