Individual provider · Type 1 NPI

Ethan Richard Bryan I, LPN

Licensed Practical Nurse · Medford, NY

NPI number 1851083075 Active

Practice location

14 Lovers Ln
Medford, NY 11763-4081

Call (631) 312-3744 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X331262 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1851083075

Ethan Richard Bryan I, LPN's National Provider Identifier is 1851083075, issued on May 25, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Medford, NY. The record was last updated on May 25, 2023.