Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 252635 | TX |
Y | 363LA2200X | Nurse Practitioner - Adult Health | APN000950 | NV |
NPI | 1033186457 |
---|---|
Provider Name | Janice K Bryan |
First Address | Reno, NV 89502-0845 |
Second Address | Reno, NV 89521-5860 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 13/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11934129 | CAQH (01) | |
Q29327 | (02) |