| NPI | 1649297532 |
|---|---|
| Former Name | CAROLYN J RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7144) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ID NP854A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 288) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-06-26 |