Lea Domenique Bryan, CRNP

Nurse Practitioner · Edmond, OK

Individual Active NPI

NPI number 1073020988

Practice location

1705 Renaissance Blvd
Edmond, OK 73013-3041
Phone
(405) 844-4978

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NPI record

NPI
1073020988
Entity type
Individual (Type 1)
Enumeration date
January 2, 2018
Last updated
July 18, 2023
Certified
July 18, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X SPO18291 PA

Mailing address

1701 Renaissance Blvd
Edmond, OK 73013-3086
Phone
(405) 844-4978
Fax
(405) 844-0562

About Lea Bryan

Lea Domenique Bryan, CRNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1705 Renaissance Blvd, Edmond, OK 73013-3041. The NPI number 1073020988 was assigned on January 2, 2018 and the record was last updated on July 18, 2023.

Lea Bryan lists a license in the registry: #SPO18291 (PA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lea Domenique Bryan, CRNP?

The NPI number is 1073020988.

What is the phone number of Lea Bryan?

The phone number listed for the practice location is (405) 844-4978.

Where is Lea Bryan located?

1705 Renaissance Blvd, Edmond, OK 73013-3041.

What is the taxonomy code for Lea Bryan?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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