Traci Sue Bryan LPN

NPI 1083973739 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1083973739
Gender Female
Enumeration Date 05/15/2012
Last Updated 05/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5641 VICTORY DR
CINCINNATI OH, 45233-4658, US
Phone (513) 828-7191
Fax
Business Location
5641 VICTORY DR
CINCINNATI OH, 45233-4658, US
Phone (513) 828-7191
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN076996
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According to our database, Mrs. Traci Sue Bryan LPN NPI is 1083973739, taxonomy code is 164W00000X and license number is PN076996, license state is located at Ohio. Traci Sue Bryan LPN physically located at 5641 Victory Dr, Cincinnati OH, 45233-4658. NPI Number Traci Sue Bryan LPN has the Individual type.

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1083973739 NPI number is provided on an as is basis without warranty of any kind. 1083973739 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Sue Bryan LPN are for informational purposes only.