Doctor Name: | MS. BARBARA MICHELLE BRYANT |
NPI Number: | 1053504480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 200950173NP |
Business Practice Address: | 925 Wild Plum Dr Klamath Falls, OR - 976011960 |
Business Phone Number: | 5412056628 |
Business Fax Number: | |
Mailing Address: | 925 Wild Plum Dr, KLAMATH FALLS |
State: | OR |
Postal Code: | 976011960 |
Phone Number: | 5412056628 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2007 |
NPI Last Update Date: | 07/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 200950173NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |