Winter-Bryant, Carla Jo

Winter-Bryant, Carla Jo is an sole proprietor health care provider with primary practice located at 104 Shoreline Crt , St. Charles IL 60174. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Winter-Bryant, Carla Jo can be contacted via phone (331) 266-9676.

Contact Information

Primary practice address
104 Shoreline Crt St. Charles IL 60174
Phone: (331) 266-9676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MT-APRN-100450 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NUR-RN-LIC 26699 Montana
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 209.022424 Illinois

Profile Details

NPI number 1891996062
LBN Legal business name Winter-Bryant, Carla Jo
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated May 3rd, 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 1891996062 NPPES
Montana Other NUR-LIN-LIC 26699 NURSING LICENSE
Montana Other M011004857 NURSING LICENSE

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