Provider Demographics
NPI:1740507417
Name:BRYAN, ADAM WESLEY (MSN, FNP-BC, RN)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:WESLEY
Last Name:BRYAN
Suffix:
Gender:M
Credentials:MSN, FNP-BC, RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:420 N JAMES RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-1834
Mailing Address - Country:US
Mailing Address - Phone:614-257-5498
Mailing Address - Fax:614-257-5386
Practice Address - Street 1:420 N JAMES RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-1834
Practice Address - Country:US
Practice Address - Phone:614-257-5498
Practice Address - Fax:614-257-5386
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0028142363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily