Alder, Ryan

Alder, Ryan is an individual health care provider with primary practice located at 2510 W Dunlap Ave Ste 290 , Phoenix AZ 85021-2759. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Alder, Ryan can be contacted via phone (602) 789-0344.

Contact Information

Primary practice address
2510 W Dunlap Ave Ste 290 Phoenix AZ 85021-2759
Phone: (602) 789-0344
Fax: (602) 789-8389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1603 Arizona

Profile Details

NPI number 1104811892
LBN Legal business name Alder, Ryan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104811892 NPPES
Arizona MEDICAID 763690

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