Nelson, Ryan Alexander

Nelson, Ryan Alexander is an individual health care provider with primary practice located at 1285 Creekside Blvd E Unit 102 , Naples FL 34109-0595. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Nelson, Ryan Alexander can be contacted via phone (239) 624-1700.

Contact Information

Primary practice address
1285 Creekside Blvd E Unit 102 Naples FL 34109-0595
Phone: (239) 624-1700
Fax: (239) 624-0311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12496 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9113002 Florida

Profile Details

NPI number 1134655152
LBN Legal business name Nelson, Ryan Alexander
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Jan 8th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134655152 NPPES
Florida Other QIJMQ BCBS
Florida MEDICAID 108562100 BCBS

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