Bryant, Larissa

Bryant, Larissa is an individual health care provider with primary practice located at 405 S L Rogers Wells Blvd , Glasgow KY 42141-1725. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bryant, Larissa can be contacted via phone (270) 834-8892.

Contact Information

Primary practice address
405 S L Rogers Wells Blvd Glasgow KY 42141-1725
Phone: (270) 834-8892
Fax: (270) 834-8899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5087P Kentucky

Profile Details

NPI number 1245424340
LBN Legal business name Bryant, Larissa
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Feb 18th, 2009 - about 15 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 1245424340 NPPES
Kentucky MEDICAID 7100056820

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