Bryana Vivyette Protkovic
Student in an Organized Health Care Education/Training Program in Edwardsville, IL. Individual provider (NPI-1).
NPI number1932018652
StatusActive
Last updated in NPPESSep 7, 2026
Details
- NPI
- 1932018652
- Entity type
- Individual (NPI-1)
- Name
- Bryana Vivyette Protkovic
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2026
- Certification date
- Sep 7, 2026
- Last updated
- Sep 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | IL | Yes |
Practice location
1 Hairpin DrEdwardsville, IL 62026-0001
Phone 618-650-3956
Mailing address
1 Hairpin DrEdwardsville, IL 62026-0001
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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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All 190 Student in an Organized Health Care Education/Training Program providers in Edwardsville · All 899 providers in Edwardsville
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