| NPI | 1225148612 |
|---|---|
| Former Name | CAROL ANN RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991227-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WY 19275.0810) |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: WY 19275.0810) | |
| 363L00000X Nurse Practitioner (Licence: CO RN.0081501) | |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0101019-NP) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-04-16 |