Individual
MRS. SUZANNE MARY RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CNM, WHCNP
Contact information
Practice address
6115 NIEMAN RD, SHAWNEE, KS 66203-2939
(913) 547-1495
(186) 688-5969
Mailing address
19321 SANTA FE TRL, LEAVENWORTH, KS 66048-8440
(913) 547-1495
(186) 688-5969
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
1471743111
KS
163WX0003X
Inpatient Obstetric Registered Nurse
2000162927
MO
363LW0102X
Women's Health Nurse Practitioner
2000162927
MO
367A00000X
Advanced Practice Midwife
2000162927
MO
367A00000X
Advanced Practice Midwife
Primary
64060
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331250 B
—
KS
05
—
259263523
—
MO
Enumeration date
11/26/2005
Last updated
08/09/2011
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