Individual
KRYSTINE RYAN
Active
Individual
KRYSTINE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A129550
IA
363LF0000X
Family Nurse Practitioner
Primary
209014722
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129583
—
IA
Enumeration date
08/17/2016
Last updated
07/28/2026
Update your record
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