Desiree Briana Bryant, LPN
Individual provider Active NPI Licensed Practical Nurse · Wynnewood, OK
NPI 1306335773 · NPPES record last updated May 1, 2018
Key facts
- NPI
- 1306335773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 59160 (OK)
- Practice address
- 116 E Robert S Kerr Blvd
Wynnewood, OK 73098-6621 - Phone
- (405) 665-4351
- Fax
- (405) 665-6372
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59160 | OK | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wynnewood Urgent Care and Immediate Care Center PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 59160 | OK | Yes |
Addresses
Primary practice location
116 E Robert S Kerr Blvd
Wynnewood, OK 73098-6621
Mailing address
116 E Robert S Kerr Blvd
Wynnewood, OK 73098-6621
Phone (405) 665-4351
Other practice location 1
106 N Powell Ave
Wynnewood, OK 73098-6608
Phone (405) 665-1010
Other providers in Wynnewood, OK
- Ryan Austin
- Esther Leanne Bautista
- Brittany Kristin Bowles
- Lonna Joan Brooks
- Jayme Elizabeth Burnett-Green
- Angela Campbell
- Amy Corrick
- Crescent Drug and Apothecary LLC
- Crescent Drug and Apothecary LLC
All providers in Wynnewood, OK · Licensed Practical Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2018. 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.