Ryan, Teresa K
Ryan, Teresa K is an sole proprietor health care provider with primary practice located at 813 N Washington Ave , Roswell NM 88201-3941. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ryan, Teresa K can be contacted via phone (575) 622-2606.Contact Information
Primary practice address
813 N Washington Ave
Roswell NM 88201-3941
Phone: (575) 622-2606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | CNP-02191 | New Mexico |
Profile Details
| NPI number | 1588838957 |
|---|---|
| LBN Legal business name | Ryan, Teresa K |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2008 |
| Last updated | Feb 21st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588838957 | NPPES |
| New Mexico | MEDICAID | 86209051 |
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