Doctor Name: | RYAN JONATHAN MUSCHICK |
NPI Number: | 1225435787 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-C |
License Number: | APRN79286-NP-C |
Business Practice Address: | 1016 5th St Canonsburg, PA - 153171904 |
Business Phone Number: | 7244870029 |
Business Fax Number: | |
Mailing Address: | 1016 5th St, CANONSBURG |
State: | PA |
Postal Code: | 153171904 |
Phone Number: | 7244870029 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2014 |
NPI Last Update Date: | 11/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APRN79286-NP-C |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |