Individual
RYAN DAN BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FPMHNP
Contact information
Practice address
101 COLE AVE, BISBEE, AZ 85603-1327
(520) 432-2042
(520) 432-2098
Mailing address
3644 W HIGHWAY 80, BISBEE, AZ 85603-6012
(801) 885-4765
(520) 432-2098
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP5161
AZ
Other
Enumeration date
08/23/2013
Last updated
04/23/2021
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