Provider Demographics
NPI:1467104265
Name:BRYSON, KAREN M (MSN, RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:BRYSON
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 LINK LN
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-6150
Mailing Address - Country:US
Mailing Address - Phone:516-784-7261
Mailing Address - Fax:
Practice Address - Street 1:31 LINK LN
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-6150
Practice Address - Country:US
Practice Address - Phone:516-784-7261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-23
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR14217100163W00000X
NY477085163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse