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

Individual provider Nurse Practitioner · NPI 1073020988

Lea Domenique Bryan, CRNP is a Nurse Practitioner in Edmond, Oklahoma. Qualified in 2017, 9 years ago. Practices with Oklahoma Arthritis Center, PC, a 45-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2018
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1705 Renaissance Blvd
Edmond, OK 73013-3041
Phone: (405) 844-4978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SPO18291 (PA)

Record details

NPI number1073020988
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 2, 2018
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Oklahoma Arthritis Center, P.C. — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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