Individual
MYRANDA LYNN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 N MAITLAND AVE, SUITE 103, MAITLAND, FL 32751-4489
(407) 660-7100
(407) 660-7051
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
(407) 262-5710
(407) 262-5796
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2614202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003600900
—
FL
Enumeration date
04/12/2007
Last updated
10/12/2011
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