Individual
MRS. MEGAN ANNE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7042
Mailing address
3376 LAUREL DR, GULF BREEZE, FL 32563-3328
(518) 368-2694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
532871-1
NY
163W00000X
Registered Nurse
RN9269992
FL
367500000X
Certified Registered Nurse Anesthetist
817218
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA213074
ME
367H00000X
Anesthesiologist Assistant
817218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444860A OK
—
TX
05
—
303791301
—
TX
01
—
8199UD
BCBS
TX
01
—
P01090770
RAILROAD MEDICARE PTAN
TX
Enumeration date
11/11/2011
Last updated
04/13/2022
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