Provider Demographics
NPI:1215247325
Name:BRYSON, CATHY LYNN (NP-C)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:LYNN
Last Name:BRYSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 689022
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-9022
Mailing Address - Country:US
Mailing Address - Phone:615-778-8071
Mailing Address - Fax:615-628-6877
Practice Address - Street 1:106 HUFFARD DR
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:VA
Practice Address - Zip Code:24605-9209
Practice Address - Country:US
Practice Address - Phone:276-322-5732
Practice Address - Fax:276-322-4640
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV67006363LF0000X
VA0017143024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily