Vincenzo, Ryan

Vincenzo, Ryan is an individual health care provider with primary practice located at 2710 Rife Medical Ln , Rogers AR 72758-1452. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Vincenzo, Ryan can be contacted via phone (913) 642-4900.

Contact Information

Primary practice address
2710 Rife Medical Ln Rogers AR 72758-1452
Phone: (913) 642-4900
Fax: (913) 381-0979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C02693 Arkansas

Profile Details

NPI number 1457365298
LBN Legal business name Vincenzo, Ryan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Nov 5th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457365298 NPPES
North Carolina Other 191841 MEDCOST
North Carolina MEDICAID 175127001 MEDCOST
North Carolina MEDICAID 8052600 MEDCOST

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