MR. ETHAN RICHARD BRYAN I LPN
NPI 1851083075
Licensed Practical Nurse in Medford, NY

Q: What is Ethan Bryan's NPI number?

The NPI number for Ethan Bryan is 1851083075. It was assigned to this individual provider in the NPPES registry on May 25, 2023. The provider is also known as Mr. Ethan Richard Bryan Lpn.

Q: What is Ethan Bryan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Bryan was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 25, 2023

14 LOVERS LN, MEDFORD, NY 11763(631) 312-3744 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Ethan Richard Bryan I Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ETHAN RICHARD BRYAN I LPN (NPI 1851083075) is an individual licensed practical nurse in Medford, New York, licensed in New York (331262) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1851083075

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMR. ETHAN RICHARD BRYAN ICredential: LPN

Location Address14 LOVERS LNMedford, NY 11763-4081

Mailing Address14 Lovers LnMedford, NY 11763-4081 · (631) 312-3744

Phone(631) 312-3744

Sole ProprietorYes

Enumeration DateMay 25, 2023

NPPES CertifiedMay 16, 2023

✔ NPI 1851083075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 331262

Definition

A licensed practical nurse 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.

14 LOVERS LN, Medford, NY 11763

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Other Names 1

Former Name (1)Mr. Ethan Richard Bryan Lpn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Bryan's NPI number?

The NPI number for Ethan Bryan is 1851083075. It was assigned to this individual provider in the NPPES registry on May 25, 2023. The provider is also known as Mr. Ethan Richard Bryan Lpn.

Where is Ethan Bryan located?

Ethan Bryan practices at 14 Lovers Ln, Medford, NY 11763. The listed phone number is (631) 312-3744.

What is Ethan Bryan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ethan Bryan was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.