| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ICOLIN BRYAN | 1649847955 | 2021-06-06 |
Icolin Bryan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649847955. Registration indicates Icolin Bryan is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Icolin Bryan |
| Practice Office Address | 1803 POWDER RIDGE DR VALRICO, FL US |
| Practice Office Telephone | 8132159577 |
| Mailing Address | 1803 POWDER RIDGE DR VALRICO, FL 335944046 US |
| Business Telephone | 8132159577 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | RN9335144
FL |