Individual provider · Type 1 NPI
Alexandra Gray Ryan
Student in an Organized Health Care Education/Training Program · Hollywood, SC
NPI number
1083479620
Active
Practice location
4710 Hard Scuffle Ln
Hollywood, SC 29449-5781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
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.
About NPI 1083479620
Alexandra Gray Ryan's National Provider Identifier is 1083479620, issued on Feb 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hollywood, SC. The record was last updated on Feb 13, 2024.