Bryan, Mary Irene

Bryan, Mary Irene is an individual health care provider with primary practice located at 660 Golden Ridge Rd Suite 250, Golden CO 80401-9541. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bryan, Mary Irene can be contacted via phone (303) 233-1223.

Contact Information

Primary practice address
660 Golden Ridge Rd Suite 250 Golden CO 80401-9541
Phone: (303) 233-1223
Fax: (303) 233-8755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 2308 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2308 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AMD-329 Hawaii

Profile Details

NPI number 1285715771
LBN Legal business name Bryan, Mary Irene
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Mar 7th, 2023 - about 3 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 1285715771 NPPES
Colorado Other 2308 LICENSE
Colorado Other A00133 LICENSE
Colorado Other AMD-329 LICENSE

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