Provider Demographics
NPI:1558923987
Name:LAROSE, BRYANNA STREIT (DNP, APRN, AGNP-BC)
Entity Type:Individual
Prefix:DR
First Name:BRYANNA
Middle Name:STREIT
Last Name:LAROSE
Suffix:
Gender:F
Credentials:DNP, APRN, AGNP-BC
Other - Prefix:
Other - First Name:BRYANNA
Other - Middle Name:JOY
Other - Last Name:STREIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN, AGNP-BC
Mailing Address - Street 1:115 KILDAIRE PARK DR STE 301
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8144
Mailing Address - Country:US
Mailing Address - Phone:919-233-0410
Mailing Address - Fax:919-233-0872
Practice Address - Street 1:115 KILDAIRE PARK DR STE 301
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8144
Practice Address - Country:US
Practice Address - Phone:919-233-0410
Practice Address - Fax:919-233-0872
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-06
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012799363L00000X
FL11002914363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner