Provider Demographics
NPI:1730733999
Name:BRYSON, AMY NICOLE (MSN, RN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:NICOLE
Last Name:BRYSON
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Gender:F
Credentials:MSN, RN, FNP-C
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Mailing Address - Street 1:2522 SOUTH RD STE 1036
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5468
Mailing Address - Country:US
Mailing Address - Phone:845-842-1324
Mailing Address - Fax:845-288-4385
Practice Address - Street 1:5 DOVER VILLAGE PLAZA
Practice Address - Street 2:STUDIO 3
Practice Address - City:DOVER PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12522
Practice Address - Country:US
Practice Address - Phone:845-842-1324
Practice Address - Fax:845-288-4385
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-26
Last Update Date:2024-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY575643163W00000X
NYF344726363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse