Individual
RYAN K HURSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
417 SKYLINE BLVD, CLOQUET, MN 55720-1164
(218) 879-1271
(218) 879-8904
Mailing address
512 SKYLINE BLVD, CLOQUET, MN 55720-3787
(218) 879-1271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10355
MN
363LF0000X
Family Nurse Practitioner
10355
MN
Other
Enumeration date
07/31/2023
Last updated
08/15/2024
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