Individual
MR. RYAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1055 BOWLES AVE STE 202, FENTON, MO 63026-2308
(636) 326-7821
(636) 326-7897
Mailing address
1055 BOWLES AVE STE 202, FENTON, MO 63026-2308
(636) 326-7821
(636) 326-7897
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041500644
IL
163W00000X
Registered Nurse
2013025076
MO
163W00000X
Registered Nurse
RN60944314
WA
363LF0000X
Family Nurse Practitioner
Primary
2020018086
MO
363LF0000X
Family Nurse Practitioner
209022160
IL
Other
Enumeration date
02/20/2021
Last updated
07/19/2021
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