Provider Demographics
NPI:1871010140
Name:BRYANT, LINDSAY LEIGH (ARNP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:LEIGH
Last Name:BRYANT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:BALDERAS-BACA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 S 43RD ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5714
Mailing Address - Country:US
Mailing Address - Phone:425-690-3650
Mailing Address - Fax:425-690-9650
Practice Address - Street 1:400 S 43RD ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5714
Practice Address - Country:US
Practice Address - Phone:425-690-3650
Practice Address - Fax:425-690-9650
Is Sole Proprietor?:No
Enumeration Date:2017-08-27
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201800022NP-PP363L00000X
IDPENDING363L00000X
UT11021158-4405363L00000X
VA0024175275363LA2100X
WAAP60800269363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care