Ryan, Teresita

Ryan, Teresita is an individual health care provider with primary practice located at 1050 Grape Ave , Saint Cloud FL 34769-3965. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ryan, Teresita can be contacted via phone (407) 943-8600.

Contact Information

Primary practice address
1050 Grape Ave Saint Cloud FL 34769-3965
Phone: (407) 943-8600
Fax: (833) 464-3650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9298416 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9298416 Florida

Profile Details

NPI number 1215392154
LBN Legal business name Ryan, Teresita
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2015
Last updated Jun 9th, 2023 - about 3 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 1215392154 NPPES
Florida MEDICAID 101231600

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