| Doctor Name: | MS. CAROL BRYAN |
| NPI Number: | 1558437608 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNM NP PP |
| License Number: | 447699 |
| Business Practice Address: | 1672 Church Ave Mckinleyville, CA - 955192504 |
| Business Phone Number: | 5306254349 |
| Business Fax Number: | |
| Mailing Address: | 1672 Church Ave, MCKINLEYVILLE |
| State: | CA |
| Postal Code: | 955194203 |
| Phone Number: | 5306254349 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 10/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 447699 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |