Nicole Bryson, CRNA
Nurse Anesthetist, Certified Registered in Little Rock, AR. Individual provider (NPI-1).
Details
- NPI
- 1760627707
- Entity type
- Individual (NPI-1)
- Name
- Nicole Bryson
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2008
- Certification date
- Sep 22, 2023
- Last updated
- Sep 22, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- 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 |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C003155 | AR | Yes |
| 163W00000X | Registered Nurse | R072514 | AR |
Practice location
8901 Carti WayLittle Rock, AR 72205-6523
Phone 501-906-3000 · Fax 501-907-6522
Mailing address
Po Box 55050Little Rock, AR 72215-5050
Phone 501-906-3000 · Fax 501-907-8367
Other practice locations
Little Rock, AR 72205-5423
Phone 501-664-4532 · Fax 501-663-4335
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.
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