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NPI Code Detail

MEDICARE: MARGARETHE ELLEN BRYANT RN, CNOR, RNFA

MEDICARE: MARGARETHE ELLEN BRYANT RN, CNOR, RNFA
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
1163WR0006XRegistered Nurse First Assistant650928TX

General Provider Information

NPI Number : 1992464234
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARETHE ELLEN BRYANT RN, CNOR, RNFA
Provider Business Mailing Address
First Line : 7777 FOREST LN STE C614
Second Line :
City : DALLAS
State : TX
Zip : 75230-6856
Country : US
Telephone Number : 972-566-7499
Fax Number : 972-566-6428
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE C614
Second Line :
City : DALLAS
State : TX
Zip : 75230-6856
Country : US
Telephone Number : 972-566-7499
Fax Number : 972-566-6428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2021
Last Update Date : 12/14/2021

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