Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Bryant

Individual provider Registered Nurse · NPI 1760044499

Bethany Bryant is a Nurse Practitioner in Detroit, Michigan. Qualified in 2019, 7 years ago. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

18610 Fenkell St
Detroit, MI 48223-2378
Phone: (313) 723-6000
Fax: (313) 424-4058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704295004 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704295004 (MI)

Record details

NPI number1760044499
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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