Provider Demographics
NPI:1326329343
Name:BRYANT, CHRISTEL GAIL (LPN)
Entity Type:Individual
Prefix:
First Name:CHRISTEL
Middle Name:GAIL
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3769 OHIO ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:OH
Mailing Address - Zip Code:44081-9551
Mailing Address - Country:US
Mailing Address - Phone:440-259-1707
Mailing Address - Fax:
Practice Address - Street 1:3769 OHIO ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:OH
Practice Address - Zip Code:44081-9551
Practice Address - Country:US
Practice Address - Phone:440-259-1707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-03
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN141486164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse