Jayde Kanani Bryant
Technician, Other in Marysville, WA. Individual provider (NPI-1).
NPI number1043662638
StatusActive
Last updated in NPPESJul 7, 2016
Details
- NPI
- 1043662638
- Entity type
- Individual (NPI-1)
- Name
- Miss Jayde Kanani Bryant
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2016
- Last updated
- Jul 7, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
6206 56th Dr NeMarysville, WA 98270-4830
Phone 425-205-8050
Mailing address
6206 56th Dr NeMarysville, WA 98270
Phone 425-205-8050
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Other Technician providers in Marysville, WA
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