Individual
RYAN PATRICK MEHREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
5216 BISHOPS BAY PKWY UNIT 232, MIDDLETON, WI 53597-8836
(815) 621-1319
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
13391428-8900
UT
Other
Enumeration date
03/29/2023
Last updated
09/05/2023
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