Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | AP60485709 | WA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9268672 | FL |
NPI | 1306026877 |
---|---|
Provider Name | Barbara L Bryant |
First Address | Gig Harbor, WA 98335-1700 |
Second Address | Gig Harbor, WA 98335-1700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2007 |
Last Update Date | 30/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ARNP9268672 | LICENSE (01) | FL |