Carla Jo Winter-Bryant in St. Charles - Adult Medicine
Carla Jo Winter-Bryant - NPI 1891996062
Carla Jo Winter-Bryant is a Adult Medicine in St. Charles, Illinois. Carla Jo Winter-Bryant practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Carla Jo Winter-Bryant is 1891996062. The last update date is 2023-05-03.
Carla Jo Winter-Bryant's current location address is 104 Shoreline Crt, St. Charles, Illinois. You can contact this provider via phone number 4063665070. The mailing address for Carla Jo Winter-Bryant is 104 Shoreline Crt, St. Charles, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carla Jo Winter-Bryant |
|---|---|
| Address | 104 Shoreline Crt, St. Charles, Illinois |
| Phone Number | 4063665070 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1891996062 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2023-05-03 |
Provider Mailing Address Detail
| Address | 104 Shoreline Crt |
|---|---|
| City | St. Charles |
| State | Illinois (IL) |
| Post Code | 60174 |
| Phone Number | 4063665070 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | MT-APRN-1004 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NUR-LIN-LIC 266 | MT | NURSING LICENSE | |
| M011004857 | MT | MEDICARE PTAN |
Post Comment/ Review Below
What is the Carla Jo Winter-Bryant's 1891996062?
The Carla Jo Winter-Bryant's NPI (National Provider Identifier) Number is 1891996062. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Carla Jo Winter-Bryant located?
The Carla Jo Winter-Bryant is located at 104 Shoreline Crt, St. Charles, IL 60174.
What is Carla Jo Winter-Bryant's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carla Jo Winter-Bryant's area of specialization is Adult Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0505X.
On what date did the Carla Jo Winter-Bryant receive the assignment of its 1891996062 from the Centers for Medicare & Medicaid Services?
The Carla Jo Winter-Bryant was issued its 1891996062 by the Centers for Medicare & Medicaid Services on 2007-05-29.
As of what date were the details related to Carla Jo Winter-Bryant most recently updated or revised?
The information pertaining to Carla Jo Winter-Bryant, including its address, specialty, and other relevant details, was last updated or revised on 2023-05-03.
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