Individual
RYAN W LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1679247
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP035361
PA
Other
Enumeration date
05/31/2022
Last updated
04/03/2026
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