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1417576752
NICOLE RUTH RYAN
LOUISVILLE, KY
NPI
1417576752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3014455)
Enumeration Date
2020-04-15
Last Update Date
2020-10-27
Business Address
NICOLE RUTH RYAN RN, DNP, PMHNP-BC
4420 DIXIE HWY STE 114
LOUISVILLE, KY 40216-2986
Phone number: 502-449-6464
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Mailing Address
NICOLE RUTH RYAN RN, DNP, PMHNP-BC
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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