Individual
RYAN ALEXANDER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1285 CREEKSIDE BLVD E UNIT 102, NAPLES, FL 34109-0595
(239) 624-1700
(239) 624-0311
Mailing address
1285 CREEKSIDE BLVD E UNIT 102, NAPLES, FL 34109-0595
(239) 624-1700
(239) 624-0311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12496
MN
363AM0700X
Medical Physician Assistant
Primary
PA9113002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108562100
—
FL
01
—
QIJMQ
BCBS
FL
Enumeration date
05/11/2017
Last updated
01/08/2025
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