Individual
RYAN WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 MADISON AVE, MEMPHIS, TN 38103-3438
(901) 448-6128
Mailing address
853 JEFFERSON AVE # ROUTE206, MEMPHIS, TN 38103-2804
(901) 448-6728
(901) 302-2495
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
31310
TN
Other
Enumeration date
06/27/2020
Last updated
10/21/2022
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