Bryan, Amanda Nicole

Bryan, Amanda Nicole is an individual health care provider with primary practice located at 1150 N 35Th Ave Ste 660 , Hollywood FL 33021-5471. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bryan, Amanda Nicole can be contacted via phone (954) 265-1125.

Contact Information

Primary practice address
1150 N 35Th Ave Ste 660 Hollywood FL 33021-5471
Phone: (954) 265-1125
Fax: (954) 985-5578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11014391 Florida

Profile Details

NPI number 1578239224
LBN Legal business name Bryan, Amanda Nicole
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2021
Last updated Jan 29th, 2024 - about 11 months 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 1578239224 NPPES
Florida MEDICAID 112965999

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