Individual provider · NPI-1

Tracy D Bryant, CNA

Nurse's Aide · Orlando, FL

NPI number1336912989
StatusActive
Last updated in NPPESNov 6, 2023

Details

NPI
1336912989
Entity type
Individual (NPI-1)
Name
Mrs. Tracy D Bryant
Credential
CNA
Sex
Female
Sole proprietor
No
Enumeration date
Nov 6, 2023
Certification date
Nov 6, 2023
Last updated
Nov 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide186030ALYes
376K00000X Nurse's Aide186030FL

Practice location

11073 Laguna Bay Dr Apt 116
Orlando, FL 32821-5567

Phone 407-300-5106

Mailing address

11073 Laguna Bay Dr Apt 116
Orlando, FL 32821-5567

Phone 407-300-5106

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