Individual provider · Type 1 NPI
Lia Michele Bryan
Pediatric Nurse Practitioner · Boston, MA
NPI number
1902499411
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2306126 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1902499411
Lia Michele Bryan's National Provider Identifier is 1902499411, issued on Feb 16, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jan 29, 2026.