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Individual
MR. RYAN MICHAEL SHORT
Active
Individual
MR. RYAN MICHAEL SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2020017268
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-83333-101
KS
Other
Enumeration date
06/29/2024
Last updated
09/05/2024
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