Individual
PATRICIA A BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
88 KRISTIN LN, HAUPPAUGE, NY 11788-1239
(631) 250-9315
Mailing address
88 KRISTIN LN, HAUPPAUGE, NY 11788-1239
(631) 250-9315
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
562336-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03090957
—
NY
Enumeration date
03/19/2009
Last updated
11/16/2017
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