Individual
BONNIE IVADELL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2295
(712) 279-5728
Mailing address
PO BOX 3168, SIOUX CITY, IA 51102-3168
(712) 279-2295
(712) 279-5728
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
51285
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51285
—
NE
Enumeration date
10/30/2020
Last updated
10/30/2020
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