Individual
MS. LISA MARIE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, FNP-C
Contact information
Practice address
30 SHREWSBURY PLZ, SHREWSBURY, NJ 07702-4322
(732) 542-2992
(732) 542-2992
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00527800
NJ
Other
Enumeration date
10/27/2014
Last updated
12/17/2014
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