Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 7536297-4405 | UT |
NPI | 1144552050 |
---|---|
Provider Name | Miss Sarah Felice Bryant |
First Address | Eagleville, TN 37060-4224 |
Second Address | Salt Lake City, UT 84113-1103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 11/02/2015 |