Provider Demographics
NPI:1780774448
Name:BRYANT, LYNDA ANN (BSN)
Entity type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:ANN
Last Name:BRYANT
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:MR
Other - First Name:STEPHEN
Other - Middle Name:MARC
Other - Last Name:JASPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:143 FAYBERN CT
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-1506
Mailing Address - Country:US
Mailing Address - Phone:412-241-0751
Mailing Address - Fax:412-243-0972
Practice Address - Street 1:143 FAYBERN CT
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-1506
Practice Address - Country:US
Practice Address - Phone:412-241-0751
Practice Address - Fax:412-243-0972
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications