Healthcare Provider Details

I. General information

NPI: 1083966535
Provider Name (Legal Business Name): DEBORAH F BRYANT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 FOX HUNT DR FOX RUN SHOPPING CENTER
BEAR DE
19701-2538
US

IV. Provider business mailing address

PO BOX 151
NEW CASTLE DE
19720-0151
US

V. Phone/Fax

Practice location:
  • Phone: 302-836-2864
  • Fax: 302-918-3219
Mailing address:
  • Phone: 302-652-2455
  • Fax: 302-322-6251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0000688
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: