Desantis, Bryn Michelle

Desantis, Bryn Michelle is an individual health care provider with primary practice located at 30701 Clemens Rd # Crw10 , Westlake OH 44145-1074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Desantis, Bryn Michelle can be contacted via phone (440) 617-1212.

Contact Information

Primary practice address
30701 Clemens Rd # Crw10 Westlake OH 44145-1074
Phone: (440) 617-1212
Fax: (440) 617-1213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0711138 Ohio

Profile Details

NPI number 1043591233
LBN Legal business name Desantis, Bryn Michelle
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Oct 28th, 2019 - about 7 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 1043591233 NPPES
Ohio MEDICAID 0056677

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