Individual
LORI L RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, CPNP-PC
Contact information
Practice address
576 THUNDER RIDGE RD, PELLA, IA 50219-7690
(319) 430-3325
Mailing address
576 THUNDER RIDGE RD, PELLA, IA 50219-7690
(319) 430-3325
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C079553
IA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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