Rena Lynn Bryson
Individual provider Active NPI General Practice Registered Nurse · Peru, IN
NPI 1861187684 · NPPES record last updated Apr 7, 2023
Key facts
- NPI
- 1861187684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 28183938A (IN)
- Practice address
- 1496 W Hoosier Blvd
Peru, IN 46970-3727 - Phone
- (765) 472-8907
- Fax
- (765) 677-5175
- NPI assigned
- Apr 7, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28183938A | IN | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 28183938A | IN | Yes |
Addresses
Primary practice location
1496 W Hoosier Blvd
Peru, IN 46970-3727
Mailing address
1496 W Hoosier Blvd
Peru, IN 46970-3727
Phone (765) 472-8907
Other providers in Peru, IN
- Skye Bower
- Marikay Boylan
- Amanda Kay Broughton
- Justin David Brown
- Michael John Brumfield
- Megan Renee Bullins
- Nicole Rae Burkhart
- Ashton Burton
- Erica Butt
- Byron L. Cohee,DDS,PC
All providers in Peru, IN · General Practice Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2023. 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.