Individual provider · NPI-1
Rena Lynn Bryson
Registered Nurse, General Practice · Peru, IN
NPI number1861187684
StatusActive
Last updated in NPPESApr 7, 2023
Details
- NPI
- 1861187684
- Entity type
- Individual (NPI-1)
- Name
- Rena Lynn Bryson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2023
- Certification date
- Apr 7, 2023
- Last updated
- Apr 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 28183938A | IN | Yes |
Practice location
1496 W Hoosier BlvdPeru, IN 46970-3727
Phone 765-472-8907 · Fax 765-677-5175
Mailing address
1496 W Hoosier BlvdPeru, IN 46970-3727
Phone 765-472-8907 · Fax 765-677-5175
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