Individual
MRS. DIANNE MARGARET RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2996 E HIGHWAY 501, CONWAY, SC 29526-9532
(866) 389-2727
Mailing address
2996 E HIGHWAY 501, CONWAY, SC 29526-9532
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
039987-23-03
NH
363LF0000X
Family Nurse Practitioner
Primary
17779
SC
363LF0000X
Family Nurse Practitioner
5006386
NC
363LF0000X
Family Nurse Practitioner
APN17779
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518984038
—
NC
05
—
30341850
—
NH
01
—
NP3675
MEDICARE B
NH
Enumeration date
07/17/2006
Last updated
01/26/2019
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