| Doctor Name: | LYSSA RYE |
| NPI Number: | 1083090666 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 9269492 |
| Business Practice Address: | 600 W Hillsboro Blvd Suite 110 Deerfield Bch, FL - 33441 |
| Business Phone Number: | 8505736291 |
| Business Fax Number: | |
| Mailing Address: | 600 West Hillsboro Blvd, Suite 110 DEERFIELD BCH |
| State: | FL |
| Postal Code: | 33444 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2015 |
| NPI Last Update Date: | 08/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 9269492 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |