Individual
KATHRYN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 E WASHINGTON ST, PETALUMA, CA 94952-3389
(707) 763-9891
Mailing address
5070 ION DR, SPARKS, NV 89436-1612
(775) 352-5335
(775) 352-5334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004883
CA
363LF0000X
Family Nurse Practitioner
APRN001756
NV
Other
Enumeration date
08/23/2014
Last updated
11/11/2024
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