Individual
MR. RYAN JEFFREY WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3600
Mailing address
9016 KIGER ST, LORTON, VA 22079-3103
(231) 349-0421
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024181578
VA
367500000X
Certified Registered Nurse Anesthetist
4704270624
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008176
—
IN
01
—
K231360
MEDICARE
KY
Enumeration date
05/18/2016
Last updated
11/22/2021
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