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General NPI Number Information
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NPI Number | 1265899207
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Entity Type | Individual
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Provider Name | MALEA BRYAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 230 GREAT CIRCLE RD
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City | NASHVILLE
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State | TN
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Zip | 37228-1706
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Country | US
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Telephone | 615-577-1704
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41016
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City | MEMPHIS
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State | TN
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Zip | 38174-1016
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Country | US
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Telephone | 931-728-5858
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Fax | 901-531-6312
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000020090
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN20090
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License Number State | TN
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