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NPI Code Detail

MEDICARE: MRS. HANNA BRYAN NP

MEDICARE: MRS. HANNA BRYAN 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
1363LP0200XPediatric Nurse Practitioner90103NM

General Provider Information

NPI Number : 1568398493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HANNA BRYAN NP
Provider Business Mailing Address
First Line : 10520 MALAGUENA LN NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-1841
Country : US
Telephone Number : 505-272-2351
Fax Number :
Provider Business Practice Location Address
First Line : 2211 LOMAS BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-2719
Country : US
Telephone Number : 505-272-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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