Individual
MS. STEPHANIE ELLEN RYAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP, CDE
Contact information
Practice address
7166 WATERMAN AVE, UNIVERSITY CITY, MO 63130-4325
(314) 652-4100
(314) 289-6478
Mailing address
7166 WATERMAN AVE, UNIVERSITY CITY, MO 63130-4325
(314) 652-4100
(314) 289-6478
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
MO
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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