Ms Carol Bryan, CNM NP PP is a
Midwife based in Mckinleyville, California. Ms Carol Bryan is licensed to practice in California (license number NMW1244) and her current practice location is
1672 Church Ave, Mckinleyville, California. She can be reached at her office (for appointments etc.) via phone at
(530) 625-4349.
NPI number for Ms Carol Bryan is 1558437608 and her current mailing address is 1672 Church Ave, Mckinleyville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558437608.
Provider's Profile
| Full Name | Ms Carol Bryan |
|---|
| Gender | Female |
|---|
| Speciality | Midwife |
|---|
| Location | 1672 Church Ave, Mckinleyville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558437608
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 10/11/2012
Medical Identifiers
Medical identifiers for Ms Carol Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558437608 | NPI | - | NPPES |
| 000853 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WW0101X | Registered Nurse - Women's Health Care, Ambulatory | 447699 (California) | Secondary |
| 176B00000X | Midwife | NMW1244 (California) | Primary |
| 363L00000X | Nurse Practitioner | 200150068NP (Oregon) | Secondary |
| 367A00000X | Advanced Practice Midwife | 279942 (Massachusetts) | Secondary |
| 176B00000X | Midwife | 200510068NP (Oregon) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Carol Bryan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Carol Bryan, CNM NP PP
1672 Church Ave,
Mckinleyville, CA 95519-4203
Ph: (530) 625-4349 | Ms Carol Bryan, CNM NP PP
1672 Church Ave,
Mckinleyville, CA 95519-2504
Ph: (530) 625-4349 |
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