Mr. Ethan Richard Bryan I, LPN - Medford, NY

Mr. Ethan Richard Bryan I, LPN

Licensed Practical Nurse in Medford, New York

NPI 1851083075

Ethan Richard Bryan I is a Licensed Practical Nurse based in Medford, NY. Ethan Richard Bryan I practices in Medford, NY and has the professional credentials of LPN. The NPI Number for Ethan Richard Bryan I is 1851083075 and holds a License No. 331262 (New York).

The current practice location address for Ethan Richard Bryan I is 14 Lovers Ln, Medford, NY and can be reached out via phone at 631-312-3744.

Location: 14 Lovers Ln, Medford, NY, 11763-4081

NPI Number

1851083075

Provider Name

Ethan Richard Bryan I

Credential

LPN

Provider Entity Type

Individual

Gender

Male

Address

14 Lovers Ln, Medford, NY, 11763-4081

Phone Number

631-312-3744

Fax Number

Provider Enumeration Date

05/25/2023

Last Update Date

03/10/2024

Address

14 Lovers Ln

City

Medford

State

New York

Zip

11763-4081

Phone Number

631-312-3744

Fax Number

Address

14 Lovers Ln

City

Medford

State

New York

Zip

11763-4081

Phone Number

631-312-3744

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

331262 (New York)

Definition

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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