Individual
JAIMIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3260
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN60433496
WA
363L00000X
Nurse Practitioner
AP61338067
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61338067
WA
Other
Enumeration date
07/16/2022
Last updated
11/18/2024
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