Provider Demographics
NPI:1538381264
Name:BRYANT, NANCY ANNE (BOARD CERTIFIED FNP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ANNE
Last Name:BRYANT
Suffix:
Gender:F
Credentials:BOARD CERTIFIED FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 FOREST AVE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7691
Mailing Address - Country:US
Mailing Address - Phone:530-342-6262
Mailing Address - Fax:530-342-6234
Practice Address - Street 1:2535 FOREST AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7691
Practice Address - Country:US
Practice Address - Phone:530-342-6262
Practice Address - Fax:530-342-6234
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN208593363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA208593OtherRN
F0596079OtherNP NAT. CIRT AANP
CANPC 7828OtherNURSE PRACTITIONER CIRT
CANPC 7828OtherNURSE PRACTITIONER CIRT
CANPC 7828OtherNURSE PRACTITIONER CIRT