Individual
RYAN TIMOTHY HALLICE
Active
Individual
RYAN TIMOTHY HALLICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
269595
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
37775
TN
363LG0600X
Gerontology Nurse Practitioner
37775
TN
Other
Enumeration date
04/04/2023
Last updated
01/20/2026
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