Individual
DENITA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-4749
Mailing address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-4749
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
029595
AZ
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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