Susan Jean Bryan is a Family in Springfield, Missouri. Susan Jean Bryan practices all healthcare services and medical treatments related to Family. The NPI Number for Susan Jean Bryan is 1154503936. The last update date is 2007-12-03.
Susan Jean Bryan's current location address is 1111 N Glenstone Ave, Springfield, Missouri. You can contact this provider via phone number 4178652815 and fax number 4175755496. The mailing address for Susan Jean Bryan is 1111 N Glenstone Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Jean Bryan |
|---|---|
| Address | 1111 N Glenstone Ave, Springfield, Missouri |
| Phone Number | 4178652815 |
| Fax Number | 4175755496 |
| Sole Proprietor | N |
| Credentials | MSN, RN, F |
NPI Number Detail
| NPI Number | 1154503936 |
|---|---|
| Provider Enumeration Date | 2007-12-03 |
| Last Updated Date | 2007-12-03 |
Provider Mailing Address Detail
| Address | 1111 N Glenstone Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658022125 |
| Phone Number | 4178652815 |
| Fax Number | 4175755496 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 106677 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the Susan Jean Bryan's 1154503936?
The Susan Jean Bryan's NPI (National Provider Identifier) Number is 1154503936. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan Jean Bryan's facilities are situated?
The facilities of Susan Jean Bryan are physically located at the following address: 1111 N Glenstone Ave, Springfield, MO, 658022125.
What is the Susan Jean Bryan's specialty and taxonomy code?
The Susan Jean Bryan's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When did Susan Jean Bryan receive its 1154503936 assignment?
The Susan Jean Bryan was assigned its 1154503936 on 2007-12-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Susan Jean Bryan most recently updated or revised?
The information pertaining to Susan Jean Bryan, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-03.