Individual
HEATHER BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
6809 TORRANCE LN, FAYETTEVILLE, NC 28314-5640
(704) 213-3215
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5017552
NC
363LF0000X
Family Nurse Practitioner
Primary
5017552
NC
Other
Enumeration date
01/30/2023
Last updated
07/19/2024
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