Individual
BETH BOWERS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. RN.
Contact information
Practice address
139 WHITE BIRCH LANE, INDIAN LAKE, NY 12842-0250
(518) 648-6146
(518) 648-6143
Mailing address
BOX 473, WELLS, NY 12190-0473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221215-1
NY
Other
Enumeration date
07/27/2010
Last updated
02/13/2012
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