Nancy S Bryant, CRNP
Individual provider Active NPI Family Nurse Practitioner · West River, MD
NPI 1750463568 · NPPES record last updated Mar 17, 2017
Key facts
- NPI
- 1750463568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R124971 (MD)
- Practice address
- 134 Owensville Road
West River, MD 20778 - Phone
- (410) 867-4700
- Fax
- (410) 867-8754
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110627000742 | MD | Order and Referring Only - Nurse Practitioner | 2365620192 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Owensville Primary Care,Inc | Past | Accepting new patients |
Interoperability endpoints
- nancy.bryant@owensvillepc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R124971 | MD | Yes |
Addresses
Primary practice location
134 Owensville Road
West River, MD 20778
Mailing address
134 Owensville Road
West River, MD 20778
Phone (410) 867-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404482700 | Medicaid | MD |
Other providers in West River, MD
- Wayne D Bierbaum
- Cynthia Bischoff
- Heather Lynne Brown
- Amanda Court
- Ebony Eddy
- Jennifer Evans
- Rebecca Hardesty
- Jonathan J Hennessee
All providers in West River, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.