Individual
MR. RYAN OMALLEY
Active
Individual
MR. RYAN OMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MSN, AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00646800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0547841
—
NJ
Enumeration date
03/02/2016
Last updated
10/30/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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