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

Mr. Ethan Richard Bryan I, LPN

Individual provider Licensed Practical Nurse · NPI 1851083075

Mr. Ethan Richard Bryan I, LPN is a Licensed Practical Nurse in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

14 Lovers Ln
Medford, NY 11763-4081
Phone: (631) 312-3744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 331262 (NY)

Record details

NPI number1851083075
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedMay 25, 2023
Last updated in NPPESMay 25, 2023
Certification dateMay 16, 2023

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