Individual
JUDITH W. RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10989 RED RUN BLVD, SUITE 208, OWINGS MILLS, MD 21117-3283
(410) 654-8602
(410) 654-8709
Mailing address
1514 WOODSIDE AVE, BALTIMORE, MD 21227-4038
(410) 654-8602
(410) 654-8709
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R051691
MD
Other
Enumeration date
08/08/2006
Last updated
07/09/2007
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