Ryan, Nancy

Ryan, Nancy is an individual health care provider with primary practice located at 1225 Remmel Dr , Johnson Creek WI 53094-8511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ryan, Nancy can be contacted via phone (920) 674-6255.

Contact Information

Primary practice address
1225 Remmel Dr Johnson Creek WI 53094-8511
Phone: (920) 674-6255
Fax: (920) 674-5288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 629033 Wisconsin

Profile Details

NPI number 1780752832
LBN Legal business name Ryan, Nancy
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jan 4th, 2021 - about 4 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 1780752832 NPPES
Wisconsin MEDICAID 43855500

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