Provider Demographics
NPI:1619218716
Name:BRYANT, VALERIE ALICE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ALICE
Last Name:BRYANT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8432
Mailing Address - Country:US
Mailing Address - Phone:941-923-1809
Mailing Address - Fax:941-927-9645
Practice Address - Street 1:3333 CLARK RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8432
Practice Address - Country:US
Practice Address - Phone:941-923-1809
Practice Address - Fax:941-927-9645
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9221877363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics