Individual
BRENDA JEAN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18111 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-6728
(714) 378-7000
Mailing address
18111 BROOKHURST ST # 2200, FOUNTAIN VALLEY, CA 92708-6728
(949) 945-2181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17408
CA
363LF0000X
Family Nurse Practitioner
17408
CA
Other
Enumeration date
06/22/2007
Last updated
03/13/2023
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