Provider Demographics
NPI:1073080578
Name:BRYANT, MARLEE RACHEL (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MARLEE
Middle Name:RACHEL
Last Name:BRYANT
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 BUFFALO MILL RD
Mailing Address - Street 2:
Mailing Address - City:EVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24550-3843
Mailing Address - Country:US
Mailing Address - Phone:434-851-0229
Mailing Address - Fax:
Practice Address - Street 1:2103 GRAVES MILL RD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2675
Practice Address - Country:US
Practice Address - Phone:434-316-7199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176862363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily