Individual
RYAN FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-5209
Mailing address
720 S ELLWOOD AVE, BALTIMORE, MD 21224-3949
(484) 225-1765
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R195412
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/10/2018
Last updated
11/30/2018
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