Individual provider · Type 1 NPI

Stephanie Ellen Ryan, NP, CDE

Primary Care Nurse Practitioner · University City, MO

NPI number 1780646489 Active

Practice location

7166 Waterman Ave
University City, MO 63130-4325

Fax (314) 289-6478

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

About NPI 1780646489

Stephanie Ellen Ryan, NP, CDE's National Provider Identifier is 1780646489, issued on Apr 6, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in University City, MO. The record was last updated on Jul 13, 2026.