Individual
NANCY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1225 REMMEL DR, JOHNSON CREEK, WI 53094-8511
(920) 674-6255
(920) 674-5288
Mailing address
147 W ROCKWELL ST, JEFFERSON, WI 53549-2048
(920) 674-6255
(920) 674-5288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
629033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43855500
—
WI
Enumeration date
11/30/2006
Last updated
01/04/2021
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