Provider Demographics
NPI:1528171246
Name:BRYANT, CAROLYN ELIZABETH (CNP)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:ELIZABETH
Last Name:BRYANT
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7 WEST JACKSON ST
Mailing Address - Street 2:VETERANS ADMINISTRATION
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077
Mailing Address - Country:US
Mailing Address - Phone:440-357-6740
Mailing Address - Fax:
Practice Address - Street 1:7 WEST JACKSON STREET
Practice Address - Street 2:LOUIS STOKES VAMC PAINSEVILLE OUTPATIENT CLINIC
Practice Address - City:PAINSEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077
Practice Address - Country:US
Practice Address - Phone:440-357-6740
Practice Address - Fax:440-357-7906
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHNP-01693/ RN-223125363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health