Individual provider · Type 1 NPI

Olivia Suzanne Ryan

Family Nurse Practitioner · South Bend, IN

NPI number 1568065258 Active

Practice location

621 Memorial Dr Ste 502
South Bend, IN 46601-1075

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF06201190 (IN)
Family Nurse Practitioner Primary 363LF0000X71010706A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1568065258

Olivia Suzanne Ryan's National Provider Identifier is 1568065258, issued on Nov 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Apr 5, 2021.