Doctor Name: | RESNEE ANN BRYANT |
NPI Number: | 1043447535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 565072 |
Business Practice Address: | 6445 Rising Sun Ave Phila, PA - 191115228 |
Business Phone Number: | 2157423247 |
Business Fax Number: | |
Mailing Address: | 6445 Rising Sun Ave, PHILA |
State: | PA |
Postal Code: | 191115228 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/11/2009 |
NPI Last Update Date: | 06/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 565072 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |