Individual
RYAN HUSLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3231 S NATIONAL AVE STE 140, SPRINGFIELD, MO 65807-7304
(417) 890-4132
Mailing address
3231 S NATIONAL AVE, STE 280, SPRINGFIELD, MO 65807-7304
(855) 420-7900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014005849
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2017024422
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
MO
05
—
PENDING
—
AR
05
—
PENDING
—
MO
Enumeration date
06/05/2017
Last updated
07/14/2017
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