Individual provider · Type 1 NPI
Mary Ellen Ryan, NP
Pediatric Nurse Practitioner · Burlington, MA
NPI number
1679752208
Active
Practice location
20 Wall St
Burlington, MA 01803-4758
Mailing address
13 Tansy Ave
Stratham, NH 03885-2289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN178290 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 042924-23-02 (NH) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1679752208
Mary Ellen Ryan, NP's National Provider Identifier is 1679752208, issued on Oct 31, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Burlington, MA. The record was last updated on Jan 24, 2024.