| Doctor Name: | LAURA JEAN RYAN |
| NPI Number: | 1700923976 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R109434 |
| Business Practice Address: | 500 West Pacific Avenue Telluride, CO - 814351229 |
| Business Phone Number: | 9704241673 |
| Business Fax Number: | |
| Mailing Address: | 836 Pine Dr, RIDGWAY |
| State: | CO |
| Postal Code: | 814329494 |
| Phone Number: | 3012364322 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 10/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R109434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |