Individual
RYAN MANWARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1883
Mailing address
784 S CLEARWATER LOOP STE D, POST FALLS, ID 83854-9599
(208) 615-9400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
58904
ID
Other
Enumeration date
06/22/2018
Last updated
03/30/2023
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