Bryniarski, Carol Ann

Bryniarski, Carol Ann is an sole proprietor health care provider with primary practice located at 2122 N Craycroft Rd Suite 102, Tucson AZ 85712-2849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Bryniarski, Carol Ann can be contacted via phone (520) 722-2400.

Contact Information

Primary practice address
2122 N Craycroft Rd Suite 102 Tucson AZ 85712-2849
Fax: (520) 323-7531
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X CERTIFICATE NO. 17 Arizona

Profile Details

NPI number 1801950282
LBN Legal business name Bryniarski, Carol Ann
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801950282 NPPES
Arizona MEDICAID 527509

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