Willie D Bryant , LPN
Licensed Practical Nurse • Buffalo, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Willie Bryant has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Willie Bryant, LPN was a registered Licensed Practical Nurse practicing in Buffalo, NY. Throughout an active medical career spanning 11 years, Willie Bryant provided care at the practice location at 210 LISBON AVE until profile deactivation on 2023-07-26.
Practice Location & Contact Primary Location
210 Lisbon Ave
Lower Apartment
Buffalo, NY 142151028
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Buffalo, NY
Practicing in Buffalo, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
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.
Career & Practice History Timeline
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Record deactivated on July 26, 2023
NPI status registered as active in NPPES database
Registered at 210 LISBON AVE, LOWER APARTMENT, BUFFALO, NY 142151028 (Tel: 7169039864)
Registered at 210 LISBON AVE, LOWER APARTMENT, BUFFALO, NY 142151028 (Tel: 7169039864)
Recorded as WILLIE BRYANT, LPN
Licensed Practical Nurse (License #279264 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
210 Lisbon Ave, Lower Apartment
Buffalo, NY 142151028
Phone: 7169039864
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