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Individual
SUSANNE A RYAN
Active
Individual
SUSANNE A RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016463
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209016463
—
IL
Enumeration date
09/01/2017
Last updated
06/06/2024
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