Nancy Bryant in Bristol - Clinical

Nancy Bryant - NPI 1629108121

Nancy Bryant is a Clinical in Bristol, Indiana. Nancy Bryant practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nancy Bryant is 1629108121. The last update date is 2007-07-09.

Nancy Bryant's current location address is 53658 Mark Dr, Bristol, Indiana. You can contact this provider via phone number 5742860030 and fax number 5742341994. The mailing address for Nancy Bryant is 53658 Mark Dr, Bristol, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Nancy Bryant
Address 53658 Mark Dr, Bristol, Indiana
Phone Number 5742860030
Fax Number 5742341994
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1629108121
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 53658 Mark Dr
City Bristol
State Indiana (IN)
Post Code 465079710
Phone Number 5742860030
Fax Number 5742341994

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34004946A
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
373892 IN BLUE CROSS BLUE SHIELD

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FAQs about Nancy Bryant

What is the Nancy Bryant's unique identification number?

The Nancy Bryant has been assigned the NPI (National Provider Identifier) Number 1629108121 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Nancy Bryant's facilities are situated?

The facilities of Nancy Bryant are physically located at the following address: 53658 Mark Dr, Bristol, IN, 465079710.

What is Nancy Bryant's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Nancy Bryant is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629108121 to Nancy Bryant?

The Centers for Medicare & Medicaid Services originally issued the 1629108121 to Nancy Bryant on 2007-03-06.

As of what date were the details related to Nancy Bryant most recently updated or revised?

The information pertaining to Nancy Bryant, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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