Individual
MS. THERESE A RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Mailing address
9A JEROME RD, LOS LUNAS, NM 87031-7162
(505) 918-0148
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R26823
NM
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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