Individual
LYSSA RYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3610 BUSH ST, RALEIGH, NC 27609
(919) 876-3130
Mailing address
1502 W NC HIGHWAY 54, STE 103, DURHAM, NC 27707-5572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009494
NC
363LA2200X
Adult Health Nurse Practitioner
5009494
NC
363LW0102X
Women's Health Nurse Practitioner
5009494
NC
Other
Enumeration date
08/05/2015
Last updated
08/20/2018
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