Ryan, Mary Ellen

Ryan, Mary Ellen is an individual health care provider with primary practice located at 20 Wall St , Burlington MA 01803-4758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ryan, Mary Ellen can be contacted via phone (617) 774-0774.

Contact Information

Primary practice address
20 Wall St Burlington MA 01803-4758
Phone: (617) 774-0774
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN178290 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 042924-23-02 New Hampshire

Profile Details

NPI number 1679752208
LBN Legal business name Ryan, Mary Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2007
Last updated Jan 24th, 2024 - about 2 years ago

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 1679752208 NPPES
New Hampshire MEDICAID 30340376
New Hampshire Other 23YP02412NH01
New Hampshire MEDICAID 281670099

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