Individual provider · Type 1 NPI
Jean M. Ryan, RN, FNP-C
Family Nurse Practitioner · Socorro, NM
NPI number
1710960604
Active
Practice location
1204 Highway 60 # 1009
Socorro, NM 87801-3914
Fax (575) 838-4689
Mailing address
PO Box 1009
Socorro, NM 87801-1009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 081000105RN (OR) |
| Family Nurse Practitioner | 363LF0000X | 200250125NP FNP-PP (OR) |
| Family Nurse Practitioner | 363LF0000X | AP60004124 (WA) |
| Registered Nurse | 163W00000X | R37016 (NM) |
| Registered Nurse | 163W00000X | RN00056320 (WA) |
| Family Nurse Practitioner Primary | 363LF0000X | CNP00802 (NM) |
Family Nurse Practitioner: Definition to come...
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About NPI 1710960604
Jean M. Ryan, RN, FNP-C's National Provider Identifier is 1710960604, issued on Nov 23, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Socorro, NM. The record was last updated on Aug 14, 2013.