Individual
COLLEEN RYAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 S PARK ST, #20, MADISON, WI 53715-1573
(608) 251-8426
Mailing address
9121 WATERSIDE ST, #211, MIDDLETON, WI 53562-5042
(608) 821-0556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38338400
—
WI
Enumeration date
05/22/2006
Last updated
07/09/2007
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