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Individual
CHANTEL KATHLEEN RYAN
Active
Individual
CHANTEL KATHLEEN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN680340
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
12108436-4405
UT
363LG0600X
Gerontology Nurse Practitioner
12108436-4405
UT
Other
Enumeration date
01/14/2021
Last updated
01/30/2024
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