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Individual

MARYANN RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
65 MAIN ST, SUITE 100, WARWICK, NY 10990-1346
(845) 545-5444
(845) 213-4794
Mailing address
65 MAIN STREET, SUITE 100, WARWICK, NY 10990
(845) 545-5444
(845) 213-4794

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR12128100
NJ
163W00000X
Registered Nurse
607912-1
NY
363LF0000X
Family Nurse Practitioner
26NJ00304400
NJ
363LF0000X
Family Nurse Practitioner
F336446
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00304400
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401688
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1336463058
NPI
Enumeration date
03/24/2010
Last updated
07/30/2016
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