Individual
BRIANNA NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2490 S WOODWORTH LOOP, SUITE 350, PALMER, AK 99645-7405
(907) 745-2663
(907) 745-2600
Mailing address
2490 S WOODWORTH LOOP, SUITE 350, PALMER, AK 99645-7405
(907) 745-2663
(907) 745-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1075
AK
363AM0700X
Medical Physician Assistant
1075
AK
363AS0400X
Surgical Physician Assistant
1075
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1583555
—
AK
Enumeration date
02/05/2013
Last updated
02/12/2014
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