Bryden, Allison Diane
Bryden, Allison Diane is an sole proprietor health care provider with primary practice located at 4305 University Ave Ste 150 , San Diego CA 92105-1690. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Bryden, Allison Diane can be contacted via phone (619) 280-2058.Contact Information
Primary practice address
4305 University Ave Ste 150
San Diego CA 92105-1690
Phone: (619) 280-2058
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95015040 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 95015040 | California |
Profile Details
| NPI number | 1902416332 |
|---|---|
| LBN Legal business name | Bryden, Allison Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2020 |
| Last updated | Jul 31st, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902416332 | NPPES |
| California | Other | 95015040 | BRN NP LICENSE NUMBER |
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