Individual
MRS. HEATHER LEE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(617) 785-0917
Mailing address
485 N SHORE RD, HEBRON, NH 03241-7222
(617) 785-0917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0990001
CO
363LF0000X
Family Nurse Practitioner
253759
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811144371
NPI
CO
Enumeration date
08/26/2008
Last updated
11/29/2021
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