Basic Information
| Provider Information | |||||||||
| NPI: | 1497244453 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CURANDELL | ||||||||
| FirstName: | BRYNA | ||||||||
| MiddleName: | |||||||||
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| Credential: | CNM | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | CURTIS | ||||||||
| OtherFirstName: | BRYNA | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 4700 UNION DEPOSIT RD STE 140 | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171113774 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176526605 | ||||||||
| FaxNumber: | 7176526431 | ||||||||
| Practice Location | |||||||||
| Address1: | 4700 UNION DEPOSIT RD STE 140 | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171113774 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176526605 | ||||||||
| FaxNumber: | 7176526431 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2018 | ||||||||
| LastUpdateDate: | 07/23/2021 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 07/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LX0001X | 0993543 | CO | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Obstetrics & Gynecology | 367A00000X | MW010494 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.