NPI | 1629382635 |
---|---|
Former Name | PATRICIA ANN BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.11211-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.11211-NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3016005) | |
Enumeration Date | 2010-08-02 |
Last Update Date | 2021-12-03 |