Provider Demographics
NPI:1841219177
Name:BRYANT, MARGARET ANN (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:BRYANT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 N. SENATE BLVD.
Mailing Address - Street 2:SUITE 755
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1260
Mailing Address - Country:US
Mailing Address - Phone:317-923-1787
Mailing Address - Fax:317-962-9186
Practice Address - Street 1:1801 N. SENATE BLVD.
Practice Address - Street 2:SUITE 755
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1260
Practice Address - Country:US
Practice Address - Phone:317-923-1787
Practice Address - Fax:317-962-9186
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001352A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200906840Medicaid
IN257700IMedicare PIN
IN200906840Medicaid
INP00003895Medicare PIN
P20704Medicare UPIN
063280AAAMedicare PIN
INM400056741Medicare PIN
INP00911316Medicare PIN