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NPI Code Detail

MEDICARE: ANGELA MICHELLE BRYANT NP-C

MEDICARE: ANGELA MICHELLE BRYANT NP-C
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
1363LF0000XFamily Nurse PractitionerF0117027AL

General Provider Information

NPI Number : 1952836181
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MICHELLE BRYANT NP-C
Provider Business Mailing Address
First Line : 1231 GUNTER AVE
Second Line :
City : GUNTERSVILLE
State : AL
Zip : 35976-1841
Country : US
Telephone Number : 256-582-1066
Fax Number :
Provider Business Practice Location Address
First Line : 1231 GUNTER AVE
Second Line :
City : GUNTERSVILLE
State : AL
Zip : 35976-1841
Country : US
Telephone Number : 256-582-1066
Fax Number : 256-582-1053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2017
Last Update Date : 04/25/2017

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