Provider Demographics
NPI:1396352332
Name:ERIN BRYANT APRN PLLC
Entity type:Organization
Organization Name:ERIN BRYANT APRN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:270-506-4000
Mailing Address - Street 1:2407 RING RD STE 133
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-5963
Mailing Address - Country:US
Mailing Address - Phone:270-506-4000
Mailing Address - Fax:270-297-4994
Practice Address - Street 1:2407 RING RD STE 133
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-5963
Practice Address - Country:US
Practice Address - Phone:270-506-4000
Practice Address - Fax:270-297-4994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty