Doctor Name: | DEBORAH F BRYANT |
NPI Number: | 1083966535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | LG-0000688 |
Business Practice Address: | 404 Fox Hunt Dr Fox Run Shopping Center Bear, DE - 197012538 |
Business Phone Number: | 3028362864 |
Business Fax Number: | 3029183219 |
Mailing Address: | 2 Penns Way, NEW CASTLE |
State: | DE |
Postal Code: | 197202407 |
Phone Number: | 3026568292 |
Fax Number: | 3023226251 |
NPI Enumeration Date: | 10/09/2012 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | LG-0000688 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |