Bryan, Carol

Bryan, Carol is an individual health care provider with primary practice located at 1672 Church Ave , Mckinleyville CA 95519-2504. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Other Service Providers / Midwife is her primary health care specialty. Bryan, Carol can be contacted via phone (530) 625-4349.

Contact Information

Primary practice address
1672 Church Ave Mckinleyville CA 95519-2504
Phone: (530) 625-4349
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 447699 California
Other Service Providers / Midwife 176B00000X NMW1244 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200150068NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 279942 Massachusetts
Other Service Providers / Midwife 176B00000X 200510068NP Oregon

Profile Details

NPI number 1558437608
LBN Legal business name Bryan, Carol
Credentials CNM NP PP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Oct 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558437608 NPPES
Oregon MEDICAID 000853

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