Individual
KRISTEN J RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6336 FORT KING RD, ZEPHYRHILLS, FL 33542-2531
(813) 640-0060
(813) 779-7700
Mailing address
1839 CENTRAL AVE, ST PETERSBURG, FL 33713-8900
(727) 322-1054
(727) 821-7213
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11002353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103452000
—
FL
Enumeration date
02/24/2016
Last updated
06/27/2022
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