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Individual
MR. RYAN CARLISLE
Active
Individual
MR. RYAN CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11024383
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117054400
—
FL
Enumeration date
07/11/2021
Last updated
12/01/2023
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