Provider Demographics
NPI:1740408160
Name:BRYCE, BARBARA AUSTIN (RN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:AUSTIN
Last Name:BRYCE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7329 SUMMIT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5312
Mailing Address - Country:US
Mailing Address - Phone:608-827-7104
Mailing Address - Fax:
Practice Address - Street 1:5910 ANTHONY ST APT 110
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-8626
Practice Address - Country:US
Practice Address - Phone:608-838-3511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health