Sheryl Bryant, RN
Individual provider Active NPI Registered Nurse · Anna, IL
NPI 1043030489 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1043030489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041.304380 (IL)
- Practice address
- 800 N Main St
Anna, IL 62906-1665 - Phone
- (618) 833-4456
- Fax
- (618) 833-2371
- NPI assigned
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.304380 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.304380 | IL | Yes |
Addresses
Primary practice location
800 N Main St
Anna, IL 62906-1665
Mailing address
902 W Main St
West Frankfort, IL 62896-2210
Phone (618) 937-6483
Other providers in Anna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.