Individual
RYANN BLACKA
Active
Individual
RYANN BLACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2024007929
MO
363LF0000X
Family Nurse Practitioner
2024007929
MO
363LF0000X
Family Nurse Practitioner
Primary
53-83388-122
KS
Other
Enumeration date
07/05/2024
Last updated
08/28/2026
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