Individual
MEREDITH RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
(215) 684-5360
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
LH-0000211
DE
363LW0102X
Women's Health Nurse Practitioner
Primary
SP014696
PA
Other
Enumeration date
04/22/2015
Last updated
09/08/2021
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