Ryan, Maureen

Ryan, Maureen is an individual health care provider with primary practice located at 436 44Th St Se , Grand Rapids MI 49548-4371. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ryan, Maureen can be contacted via phone (616) 531-9750.

Contact Information

Primary practice address
436 44Th St Se Grand Rapids MI 49548-4371
Phone: (616) 531-9750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704130210 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704130210 Michigan

Profile Details

NPI number 1821083239
LBN Legal business name Ryan, Maureen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Nov 28th, 2011 - about 15 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 1821083239 NPPES
Michigan Other MR130210 BCBS
Michigan Other 500028470 BCBS
Michigan MEDICAID 2921840 BCBS

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