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

MS. Lais Fabri Bryan

Individual provider Nurse Practitioner · NPI 1215684642

MS. Lais Fabri Bryan is a Nurse Practitioner in Seattle, Washington. Qualified in 2022, 4 years ago. Practices with Queens University Medical Group, a 623-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

325 9th Ave
Seattle, WA 98104-2420
Phone: (206) 520-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP70077040 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP70077040 (WA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP70077040 (WA)

Record details

NPI number1215684642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 5, 2022
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing addressPo Box 50095, Seattle, WA 98145-5095

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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