Individual
TYSHA L BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-8000
Mailing address
26055 IRON HORSE CT, FIRTH, NE 68358-6298
(402) 649-1605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
112993
NE
363LF0000X
Family Nurse Practitioner
Primary
112993
NE
Other
Enumeration date
10/18/2019
Last updated
12/23/2019
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