Individual
MICHAEL JOHN-PAUL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1414 E 4500 S, MILLCREEK, UT 84117-4228
(385) 299-0473
Mailing address
1414 E 4500 S, MILLCREEK, UT 84117-4228
(385) 299-0473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12933889-4405
UT
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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