Individual
AUTUMN MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
220 E. FIRST AVE. EXT., LEXINGTON, NC 27292
(336) 242-2450
Mailing address
1305 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190772
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190772
RN
NC
Enumeration date
08/20/2007
Last updated
08/20/2007
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