Individual provider · Type 1 NPI

Victoria Eleanor Ryan, PA-C

Student in an Organized Health Care Education/Training Program · Pocatello, ID

NPI number 1003980210 Active

Practice location

990 Cesar Chavez Ave
Pocatello, ID 83209-0001

Call (208) 282-2330 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPA-626 (ID)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

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About NPI 1003980210

Victoria Eleanor Ryan, PA-C's National Provider Identifier is 1003980210, issued on Nov 20, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pocatello, ID. The record was last updated on Sep 10, 2015.