Provider Demographics
NPI:1528826898
Name:MORRIS, BRYANNA LYNN (ADN)
Entity type:Individual
Prefix:
First Name:BRYANNA
Middle Name:LYNN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:ADN
Other - Prefix:
Other - First Name:BRYANNA
Other - Middle Name:LYNN
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ADN
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05601-0647
Mailing Address - Country:US
Mailing Address - Phone:802-301-3200
Mailing Address - Fax:802-223-0842
Practice Address - Street 1:34 BARRE ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3510
Practice Address - Country:US
Practice Address - Phone:802-301-3200
Practice Address - Fax:802-223-0842
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
VT026.0149706163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No163W00000XNursing Service ProvidersRegistered Nurse