Wilma Bryant LPN

NPI 1477892289 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1477892289
Gender Female
Enumeration Date 02/14/2013
Last Updated 02/14/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
150 DEN-MAC DR
BOONE NC, 28607-6543, US
Phone (828) 263-8171
Fax (828) 263-0995
Business Location
515 CLANTON RD
CHARLOTTE NC, 28217-1309, US
Phone (704) 332-9001
Fax (704) 714-1182
Toxanomy
Taxonomy Code 164W00000X
License State Tennessee
License Number 64596
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According to our database, Wilma Bryant LPN NPI is 1477892289, taxonomy code is 164W00000X and license number is 64596, license state is located at Tennessee. Wilma Bryant LPN physically located at 150 Den-mac Dr, Boone NC, 28607-6543. NPI Number Wilma Bryant LPN has the Individual type.

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1477892289 NPI number is provided on an as is basis without warranty of any kind. 1477892289 is maintained by the National Plan & Provider Enumeration System. The contents of Wilma Bryant LPN are for informational purposes only.