Individual
SHANNON NICOLE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 GALLOPING HILL RD, UNION, NJ 07083-7989
(908) 522-6300
Mailing address
611 BLOOMINGDALE AVE, KENILWORTH, NJ 07033-1905
(908) 603-9377
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
26NR20273400
NJ
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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