| Heather Bryan, PMHNP-BC | |
|
2016 1st Ave, Summerville, SC 29486-0408 | |
| (843) 873-4545 | |
| (843) 873-1561 |
| Full Name | Heather Bryan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2016 1st Ave, Summerville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588235642 | NPI | - | NPPES |
| Entity Name | October Road Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144375767 PECOS PAC ID: 3577611433 Enrollment ID: O20090501000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Bryan, PMHNP-BC 3020 Haswell St Apt 1212, Daniel Island, SC 29492-6411 Ph: (864) 787-3382 | Heather Bryan, PMHNP-BC 2016 1st Ave, Summerville, SC 29486-0408 Ph: (843) 873-4545 |
Nicholas Arthur Hathaway, FNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 W 4th St N, Summerville, SC 29483 Phone: 843-873-0681 | |
Marie Davis Rataj, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 92 Springview Lane, South Carolina Sleep Medicine, Summerville, SC 29485 Phone: 843-871-4006 Fax: 843-871-4074 | |
Mrs. Caroline M Yerich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 N Cedar St, Summerville, SC 29483 Phone: 843-871-9440 Fax: 843-871-5932 | |
Kristina M Dibartolo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Springview Ln # A, Summerville, SC 29485 Phone: 843-832-9113 Fax: 843-832-9114 | |
Jody Kay Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 89 Old Trolley Rd Ste 200, Summerville, SC 29485 Phone: 737-226-6740 | |
Katherine Ellis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2016 1st Ave, Summerville, SC 29486 Phone: 843-432-3109 | |
Norma June Taveras, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 N Cedar St Ste 100, Summerville, SC 29483 Phone: 843-821-2480 |