Individual
EILEEN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILA, PA 19104-4306
(215) 590-4069
Mailing address
709 CORNERSTONE LN, BRYN MAWR, PA 19010-2075
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
CRNP UP006492N
PA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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