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Individual

ANN PARKER RYDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
203 SAFARI LOOP, CLOVIS, NM 88101-8798
(850) 382-4658
Mailing address
203 SAFARI LOOP, CLOVIS, NM 88101-8798
(850) 382-4658

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9436440
FL
363L00000X
Nurse Practitioner
Primary
69172
NM

Other

Enumeration date
07/11/2022
Last updated
08/05/2022
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