Individual
RYAN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 686-0090
(978) 681-5963
Mailing address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 686-0090
(978) 681-5963
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2275246
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110114003A
—
MA
Enumeration date
03/26/2014
Last updated
02/22/2019
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