Healthcare Provider Details

I. General information

NPI: 1992980734
Provider Name (Legal Business Name): DEVIN YVONNE BRYANT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR EVANS ARMY COMMUNITY HOSPITAL, ATTN: MCXE-PMD/PHN
COLORADO SPRINGS CO
80913-4603
US

IV. Provider business mailing address

1650 COCHRANE CIR EVANS ARMY COMMUNITY HOSPITAL, ATTN: CREDENTIALS OFFICE
COLORADO SPRINGS CO
80913-4603
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-2939
  • Fax: 719-526-7181
Mailing address:
  • Phone: 719-526-7844
  • Fax: 719-526-7984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: