Ryan, Jennifer Mary

Ryan, Jennifer Mary is an individual health care provider with primary practice located at 30 Medical Center Blvd Suite 305, Upland PA 19013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ryan, Jennifer Mary can be contacted via phone (610) 874-6448.

Contact Information

Primary practice address
30 Medical Center Blvd Suite 305 Upland PA 19013
Phone: (610) 874-6448
Fax: (610) 876-7399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 522516L Pennsylvania

Profile Details

NPI number 1447497599
LBN Legal business name Ryan, Jennifer Mary
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2009
Last updated Feb 13th, 2015 - about 9 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 1447497599 NPPES
Pennsylvania Other RN522516L STATE LICENSE

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