Individual
MR. BRYAN KEITH BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 772-9202
(910) 772-9452
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 772-9202
(910) 772-9452
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
259393
NC
367500000X
Certified Registered Nurse Anesthetist
ARNP9197719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307502800
—
FL
Enumeration date
05/11/2006
Last updated
05/06/2013
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