Individual provider · Type 1 NPI
Crystalyn Lou Bryan, NP-C
Nurse Practitioner · Boise, ID
Practice location
6052 W State St
Boise, ID 83703-2739
Fax (208) 809-2876
Mailing address
PO Box 191050
Boise, ID 83719-1050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 62758 (ID) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1649813577
Crystalyn Lou Bryan, NP-C's National Provider Identifier is 1649813577, issued on Oct 23, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Nov 24, 2025.