| Doctor Name: | KRISTINE RYALL |
| NPI Number: | 1043411374 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN MSN FNPC |
| License Number: | NP9750 |
| Business Practice Address: | 17051 Sierra Lakes Pkwy Ste 101 Fontana, CA - 923361274 |
| Business Phone Number: | 9094282040 |
| Business Fax Number: | 9094282191 |
| Mailing Address: | 3400 Data Dr 1st, RANCHO CORDOVA |
| State: | CA |
| Postal Code: | 956707956 |
| Phone Number: | 9163792726 |
| Fax Number: | 9168537874 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 11/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP9750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |