| Doctor Name: | RYAN FLORES |
| NPI Number: | 1144627803 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP, FNP, MSN |
| License Number: | SP014547 |
| Business Practice Address: | 150 N New Castle St New Wilmington, PA - 161421019 |
| Business Phone Number: | 7249463564 |
| Business Fax Number: | 7249462156 |
| Mailing Address: | 1506 Means Rd, NEW WILMINGTON |
| State: | PA |
| Postal Code: | 161423326 |
| Phone Number: | 7247304119 |
| Fax Number: | |
| NPI Enumeration Date: | 11/24/2014 |
| NPI Last Update Date: | 11/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP014547 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |