Individual
TIMOTHY ROY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
988102 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-8102
(402) 559-9800
(402) 559-7929
Mailing address
988102 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-8102
(402) 559-9800
(402) 559-7929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110874
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026059800
—
NE
Enumeration date
08/01/2007
Last updated
09/17/2012
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