Individual
JANET A RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9398 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8505
(360) 782-3200
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1080
WI
363A00000X
Physician Assistant
5601003059
MI
363A00000X
Physician Assistant
Primary
PA60546522
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363A0000X
—
WA
Enumeration date
08/04/2006
Last updated
03/17/2018
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