Lea Domenique Bryan
CRNP | Nurse Practitioner | 8+ years Exp
1705 Renaissance Blvd, Edmond
Oklahoma, 73013-3041
405-844-4978
Lea Domenique Bryan is a Edmond, Oklahoma based nurse practitioner with 8 years of experience in . She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lea Domenique Bryan is SPO18291 in Pennsylvania. Her current practice location is 1705 Renaissance Blvd, Edmond. Patients can reach her at 405-844-4978. Lea Domenique Bryan is CRNP and her NPI number (Unique professional ID assigned by NPPES) is 1073020988.
Lea Domenique Bryan has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lea Domenique Bryan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lea Domenique Bryan |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CRNP |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1705 Renaissance Blvd, Edmond,
Oklahoma, 73013-3041 |
| Phone: | 405-844-4978 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0345501920 |
| Enrollment ID: | I20180815003659 |
| NPI Number: | 1073020988 |
| NPI Enumeration Date: | 02 Jan, 2018 |
| NPI Last Update On: | 18 Jul, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lea Domenique Bryan are as mentioned below.
| License Number | Specialization | State | Status | |
| SPO18291 | | Pennsylvania | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lea Domenique Bryan is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Nerve Renewal Group Llc (7416346507) | 2 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lea Domenique Bryan
1701 Renaissance Blvd,
Edmond, Oklahoma |
| Zip: | 73013-3086 |
| Phone Number: | 405-844-4978 |
| Fax Number: | 405-844-0562 |
Patients can reach Lea Domenique Bryan at
1705 Renaissance Blvd, Edmond, Oklahoma or can
call to book an appointment on 405-844-4978.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.