Doctor Name: | MS. MELISSA BRYSON |
NPI Number: | 1093164725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 340643 |
Business Practice Address: | 224 E Main St Springville, NY - 141411443 |
Business Phone Number: | 7165922871 |
Business Fax Number: | |
Mailing Address: | 3170 E Maple Rd, MILFORD |
State: | MI |
Postal Code: | 483813652 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/03/2016 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 340643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |