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Individual

JULIANNE CAROL RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
27 SAINT STEPHEN ST APT 6, BOSTON, MA 02115-4522
(617) 827-9629

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2293324
MA
367500000X
Certified Registered Nurse Anesthetist
PENDING
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2293324
MA

Other

Enumeration date
07/15/2020
Last updated
08/25/2021
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