Provider Demographics
NPI:1770709776
Name:BRYANT, CATHERINE ESTHER (LPN)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ESTHER
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 CLARKWOOD PKWY
Mailing Address - Street 2:APT 607
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-4822
Mailing Address - Country:US
Mailing Address - Phone:216-332-1300
Mailing Address - Fax:216-332-1300
Practice Address - Street 1:4400 CLARKWOOD PKWY
Practice Address - Street 2:APT 607
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-4822
Practice Address - Country:US
Practice Address - Phone:216-332-1300
Practice Address - Fax:216-332-1300
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN023971164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse