Provider Demographics
NPI:1780380485
Name:BRYANT, MARIA (EMT, CBS)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BRYANT
Suffix:
Gender:F
Credentials:EMT, CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 GLENCOE HILLS DR APT 9
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1081
Mailing Address - Country:US
Mailing Address - Phone:586-419-6781
Mailing Address - Fax:
Practice Address - Street 1:2113 GLENCOE HILLS DR APT 9
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1081
Practice Address - Country:US
Practice Address - Phone:586-419-6781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula