Provider Demographics
NPI:1497886287
Name:HENRIQUES-BRYAN, MERICE JEAN (RNC, BSN)
Entity Type:Individual
Prefix:
First Name:MERICE
Middle Name:JEAN
Last Name:HENRIQUES-BRYAN
Suffix:
Gender:F
Credentials:RNC, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 KING PHILIP DR
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-1408
Mailing Address - Country:US
Mailing Address - Phone:860-233-6771
Mailing Address - Fax:
Practice Address - Street 1:208 KING PHILIP DR
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06117-1408
Practice Address - Country:US
Practice Address - Phone:860-882-0000
Practice Address - Fax:860-882-1885
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE47254163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health