Individual
GREGORY RYAN NOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-7500
(717) 228-1642
Mailing address
601 MEMORY LANE, N/A, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
650306
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN650306
PA
Other
Enumeration date
07/17/2019
Last updated
05/09/2025
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