Individual
RYAN NANKERVIS
Active
Individual
RYAN NANKERVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041404827
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209016792
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MULTI SPECIALTY GROUP
IL
Enumeration date
10/01/2017
Last updated
07/17/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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