Individual
MISS CLARE ELIZABETH RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-6300
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-6300
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN546895
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP009587
PA
Other
Enumeration date
08/01/2007
Last updated
12/30/2014
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