Individual
ELIZABETH ANNE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
55 FRUIT STREET, MGH LUNDER 6 NEURO ICU, BOSTON, MA 02114
(973) 975-2696
Mailing address
346 TURNPIKE RD UNIT 1103, WESTBOROUGH, MA 01581-2891
(973) 975-2696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2311171
MA
363LA2100X
Acute Care Nurse Practitioner
RN2311171
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2311171
CNP LICENSE
MA
Enumeration date
10/15/2018
Last updated
08/27/2025
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