Ryan, Liana Gill

Ryan, Liana Gill is an individual health care provider with primary practice located at 114 W 11Th St , Silver City NM 88061-5136. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Ryan, Liana Gill can be contacted via phone (575) 388-1511.

Contact Information

Primary practice address
114 W 11Th St Silver City NM 88061-5136
Fax: (575) 388-3465
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2006 0037 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2006-0037 New Mexico

Profile Details

NPI number 1447324454
LBN Legal business name Ryan, Liana Gill
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jan 16th, 2009 - about 16 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 1447324454 NPPES
New Mexico MEDICAID 14582244

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