Individual
JOHN CHRISTOPHER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4503 OLD MONROE RD, INDIAN TRAIL, NC 28079-5309
(980) 993-7100
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015634
NC
363LF0000X
Family Nurse Practitioner
Primary
5015634
NC
Other
Enumeration date
09/21/2021
Last updated
07/15/2024
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