Individual
JENNIFER MARY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30 MEDICAL CENTER BLVD, SUITE 305, UPLAND, PA 19013
(610) 874-6448
(610) 876-7399
Mailing address
337 SPRING VALLEY RD, SPRINGFIELD, PA 19064-2231
(610) 357-4767
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
522516L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN522516L
STATE LICENSE
PA
Enumeration date
01/12/2009
Last updated
02/13/2015
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