Doctor Name: | ALYSON RYAN |
NPI Number: | 1093123143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 540733 |
Business Practice Address: | 559 10th St Ste 1 Floresville, TX - 781143165 |
Business Phone Number: | 8303939152 |
Business Fax Number: | 8303939138 |
Mailing Address: | 559 10th St, Ste 1 FLORESVILLE |
State: | TX |
Postal Code: | 781143165 |
Phone Number: | 8303939152 |
Fax Number: | 8303939138 |
NPI Enumeration Date: | 07/31/2014 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 540733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |