Individual provider · Type 1 NPI
Kristi N. Ryan, PNP-AC
Nurse Practitioner · Peoria, IL
Practice location
420 NE Glen Oak Ave, Suite 301
Peoria, IL 61603-3105
Fax (309) 655-3410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 198953 (NC) |
| Nurse Practitioner Primary | 363L00000X | 209-012284 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1508181702
Kristi N. Ryan, PNP-AC's National Provider Identifier is 1508181702, issued on Mar 30, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Apr 30, 2015.