Individual
MS. KATHRYN ANNE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
96 CAMPUS DR, SCARBOROUGH, ME 04074-7163
(207) 396-5617
Mailing address
37 BROAD COVE WOODS, YARMOUTH, ME 04096-6162
(207) 240-9997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95010858
CA
363LF0000X
Family Nurse Practitioner
Primary
CNP191236
ME
Other
Enumeration date
01/16/2019
Last updated
12/02/2019
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