Individual
RYAN ALAN SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
211588
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
28248627A
IN
367500000X
Certified Registered Nurse Anesthetist
843401
TX
Other
Enumeration date
04/19/2012
Last updated
01/31/2023
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