Individual
RYAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2845 W CLEVELAND ROAD EXT, SOUTH BEND, IN 46628-6188
(574) 301-8800
(574) 371-2448
Mailing address
3018 PLEASANT ST, SOUTH BEND, IN 46615-1848
(574) 299-3386
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007058A
IN
Other
Enumeration date
04/28/2017
Last updated
06/21/2022
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