Individual
ESTHER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 DOC STONE RD, STAFFORD, VA 22556-4515
(540) 602-7766
Mailing address
2109 MILL RD, APT 110, ALEXANDRIA, VA 22314-5320
(804) 852-2718
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0001233536
VA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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