| Bryant Community Outreach Llc | |
|
3430 E Russell Rd Ste 301-122 Las Vegas NV 89120-2201 | |
| (702) 684-9206 | |
| Not Available |
| Full Name | Bryant Community Outreach Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3430 E Russell Rd Ste 301-122, Las Vegas, Nevada |
| Authorized Official Name and Position | Deshawn Bryant (CEO/OWNER) |
| Authorized Official Contact | 7026849206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryant Community Outreach Llc 3430 E Russell Rd Ste 301-122 Las Vegas NV 89120-2201 Ph: (702) 684-9206 | Bryant Community Outreach Llc 3430 E Russell Rd Ste 301-122 Las Vegas NV 89120-2201 Ph: (702) 684-9206 |
| NPI Number | 1215707849 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 7517490469 |
|---|---|
| Medicare Enrollment ID | O20241030002194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215707849 | NPI | - | NPPES |
| Provider Name | Amaris Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811394760 PECOS PAC ID: 6800327636 Enrollment ID: I20241004000510 |
| Provider Name | Carri Campbell-nasby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659841815 PECOS PAC ID: 2062945942 Enrollment ID: I20241030003648 |
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