ANGELAN BRYAN


Address: 550 Medical Center Blvd, Lawrenceville, GA 30046-7688
Phone: 7709214492

ANGELAN BRYAN (NPI# 1952707028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952707028
Entity Type Individual
Full Name ANGELAN BRYAN
Credential NNP-BC
Practice Address 550 Medical Center Blvd
Lawrenceville
GA 30046-7688
Mailing Address Po Box 465958
Lawrenceville
GA 30042-5958
Practice Telephone 7709214492
Practice Fax Number 7706963358
Mailing Telephone 7709214492
Mailing Fax Number 7706963358
Enumeration Date 2014-11-17
Last Update Date 2014-11-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
RN122946 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 550 MEDICAL CENTER BLVD
City LAWRENCEVILLE
State GA
Zip Code 30046-7688

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184851008 Ima S Thompson Pediatrics 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 2009-06-18
1508403783 Heather Leigh Farhy Pediatrics 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 2019-12-05
1639728777 Suzanne M Tillman Pediatrics 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 2019-09-11
1932676269 Breanne Massung Bautista Nurse Practitioner 550 Medical Center Blvd, Lawrenceville, GA 30046 2018-10-24
1467843417 Dawn Cannova Nurse Practitioner 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 2015-02-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023174 Alpha & Omega Hearing Centers Hearing Instrument Specialist Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 2020-08-12
1285259846 Mesun Health Services, Inc Clinical Nurse Specialist 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 2020-06-10
1215550264 Mesun Health Services, Inc Skilled Nursing Facility 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 2020-05-26
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1225577000 Priority Housecalls LLC Clinic/Center 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 2017-02-14
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417283839 Traci Anderson Pitts Nurse Practitioner 500 Medical Center Blvd, Lawrenceville, GA 30046-8708 2009-10-20
1740460906 Joy O. Ivemeyer Nurse Practitioner 500 Medical Center Blvd, Lawrenceville, GA 30045-8708 2007-11-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902357866 Carla Zimmerly Nurse Practitioner 1711 Tullie Circle, Atlanta, GA 30329 2016-10-17
1851709844 Scott Anthony Sides Nurse Practitioner 88 Hardy St, Chatsworth, GA 30705-3231 2014-07-23
1659641058 Christy Marie Gardner Nurse Practitioner 1120 15th St # 6033, Augusta, GA 30912-0004 2012-01-03
1578527479 Rebecca Lynn Turner Nurse Practitioner Children's Hospital Navicent Health, 777 Hemlock Street, Macon, GA 31201 2006-04-17
1932721461 Ashley Murry Nurse Practitioner 1711 Tullie Cir Ne, Atlanta, GA 30329-2305 2020-05-06
1881227940 Ingried Albisu Nurse Practitioner 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2020-02-18
1407400427 Rachel Mae Perlman Nurse Practitioner 1584 Tullie Cir Ne, Atlanta, GA 30329-2311 2019-07-29
1730660093 Virginia Tittle Kee Nurse Practitioner 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 2018-08-24
1669968137 Cheri Denise Robison Nurse Practitioner 777 Hemlock St, Macon, GA 31201-2102 2018-07-07
1669962684 Hilary Antley Jones Nurse Practitioner 1711 Tullie Cir Ne, Atlanta, GA 30329-2305 2018-05-15
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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