NPI Code Details Logo

NPI 1265830285

NPI 1265830285 : AMY SUE BRYAN FNP-C : STEUBENVILLE, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265830285
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    AMY SUE BRYAN FNP-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/08/2014
-----------------------------------------------------
    Last Update Date     |    06/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4100 JOHNSON RD STE 205 
-----------------------------------------------------
    City                 |    STEUBENVILLE
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43952-2365
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    740-266-1203
-----------------------------------------------------
    Fax                  |    740-266-1204
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    380 SUMMIT AVENUE MSO PHYSICIAN BILLING
-----------------------------------------------------
    City                 |    STEUBENVILLE
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43952-2667
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    740-328-3077
-----------------------------------------------------
    Fax                  |    740-283-7807
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRN.CNP.16839
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.