Provider Demographics
NPI:1811666563
Name:BRYANT, ALAYNA M (APRN)
Entity type:Individual
Prefix:MRS
First Name:ALAYNA
Middle Name:M
Last Name:BRYANT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1080
Mailing Address - Street 2:
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-1080
Mailing Address - Country:US
Mailing Address - Phone:270-858-6655
Mailing Address - Fax:270-858-4027
Practice Address - Street 1:197 WILL WALKER ROAD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-7436
Practice Address - Country:US
Practice Address - Phone:270-866-3161
Practice Address - Fax:270-861-3163
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3016383363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY15435076OtherCAQH
KY7100793340Medicaid