Individual
ALLISON DIANE BRYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4305 UNIVERSITY AVE STE 150, SAN DIEGO, CA 92105-1690
(619) 280-2058
Mailing address
3977 1/2 FLORIDA ST, SAN DIEGO, CA 92104-2702
(530) 417-2538
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95015040
CA
363LP2300X
Primary Care Nurse Practitioner
95015040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95015040
BRN NP LICENSE NUMBER
CA
Enumeration date
07/31/2020
Last updated
07/31/2020
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