Individual provider · Type 1 NPI

Alta L. Ryan

Obstetrics & Gynecology Nurse Practitioner · Rockford, IL

NPI number 1639104359 Active

Practice location

209 9th St, Suite 200
Rockford, IL 61104-2235

Mailing address

PO Box 1567
Rockford, IL 61110-0067

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001X209.000800 (IL)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

32 other providers at this address

Other obstetrics & gynecology nurse practitioner providers in Rockford

See all in Rockford →

About NPI 1639104359

Alta L. Ryan's National Provider Identifier is 1639104359, issued on Jul 11, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Rockford, IL. The record was last updated on Jul 1, 2015.