Individual
ANDREA L RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
528 E 5TH ST, FLORENCE, NJ 08518-2604
(609) 410-7605
(609) 360-0252
Mailing address
528 E 5TH ST, FLORENCE, NJ 08518-2604
(609) 410-7605
(609) 360-0252
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NN08674700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7955201
—
NJ
Enumeration date
10/19/2006
Last updated
03/03/2023
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