Individual
GENEVRA AIMEE ELIZABETH RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10345 PROFESSIONAL CIR STE 125, RENO, NV 89521-3100
(775) 348-7300
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
Primary
872104
NV
163W00000X
Registered Nurse
95336499
CA
Other
Enumeration date
10/08/2021
Last updated
05/01/2025
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