Individual
RYAN JAMES BANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
129 PELSETT ST, DURHAM, NC 27703-0777
(517) 599-4862
Mailing address
129 PELSETT ST, DURHAM, NC 27703-0777
(517) 599-4862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN260180
GA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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