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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285715771 | NPPES |
Colorado | Other | 2308 | LICENSE |
Colorado | Other | A00133 | LICENSE |
Colorado | Other | AMD-329 | LICENSE |
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