Provider Demographics
NPI:1699447219
Name:BRYANT, MERRIDY LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:MERRIDY
Middle Name:LYNN
Last Name:BRYANT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MERRIDY
Other - Middle Name:LYNN
Other - Last Name:ROWDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:280 12TH ST
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:79525-3126
Mailing Address - Country:US
Mailing Address - Phone:928-530-3323
Mailing Address - Fax:
Practice Address - Street 1:101 AVENUE J
Practice Address - Street 2:
Practice Address - City:ANSON
Practice Address - State:TX
Practice Address - Zip Code:79501-2113
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1027646363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily