Individual
RYAN PATRICK FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01107-1619
(413) 794-6297
(413) 794-1767
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2311096
MA
363LA2100X
Acute Care Nurse Practitioner
RN2311096
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110148937A
—
MA
Enumeration date
12/16/2018
Last updated
03/27/2021
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