Individual
RYAN ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605
(864) 455-7000
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21960
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5281
—
SC
Enumeration date
06/19/2018
Last updated
05/19/2021
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