Individual provider · Type 1 NPI
Latabitha Bryant
General Practice Registered Nurse · Oak Lawn, IL
NPI number
1508683624
Active
Practice location
10736 Lamon Ave
Oak Lawn, IL 60453-5419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043106678 (IL) |
| General Practice Registered Nurse Primary | 163WG0000X | 041528835 (IL) |
General Practice Registered Nurse: Definition to come...
About NPI 1508683624
Latabitha Bryant's National Provider Identifier is 1508683624, issued on Sep 20, 2024. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Oak Lawn, IL. The record was last updated on Oct 19, 2026.