Laura Bryant

Individual provider Active NPI Registered Nurse · Kingsford, MI

NPI 1386287019 · NPPES record last updated Oct 25, 2019

Key facts

NPI
1386287019
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
4704336839 (MI)
Practice address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone
(906) 774-0522
NPI assigned
Oct 25, 2019
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

State licenses

LicenseStateTypeSpecialty
4704336839MIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704336839 MI Yes

Addresses

Primary practice location

715 Pyle Dr
Kingsford, MI 49802-4456

Mailing address

715 Pyle Dr
Kingsford, MI 49802-4456

Other providers in Kingsford, MI

All providers in Kingsford, MI · Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.