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NPI Code Detail

MEDICARE: SHARI W BRYANT NP

MEDICARE: SHARI W BRYANT NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71002709AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275789042
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARI W BRYANT NP
Provider Business Mailing Address
First Line : PO BOX 13059
Second Line :
City : BELFAST
State : ME
Zip : 04915-4021
Country : US
Telephone Number : 317-583-3022
Fax Number : 317-583-2199
Provider Business Practice Location Address
First Line : 3700 WASHINGTON AVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-0542
Country : US
Telephone Number : 812-485-7040
Fax Number : 812-485-7042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2008
Last Update Date : 04/19/2016

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