Doctor Name: | MS. MARCIA ANNETTE BRYAN |
NPI Number: | 1275884553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6906025 |
Business Practice Address: | 957 Rock Creek Street Apopka, FL - 32712 |
Business Phone Number: | 4078802107 |
Business Fax Number: | |
Mailing Address: | 957 Rock Creek Street, APOPKA |
State: | FL |
Postal Code: | 32712 |
Phone Number: | 4078802107 |
Fax Number: | 4078802107 |
NPI Enumeration Date: | 09/26/2012 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 376G00000X |
License Number: | 6906025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Nursing Home Administrator |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |