Individual
MR. RYAN D VISBEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, AGPCNP-BC
Contact information
Practice address
360 ESSEX ST STE 301, HACKENSACK, NJ 07601-8566
(201) 646-0110
Mailing address
360 ESSEX ST STE 301, HACKENSACK, NJ 07601-8566
(201) 646-0110
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01028800
NJ
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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