Individual provider · Type 1 NPI
Bonita Annette Ryall, N.P.
Pediatric Nurse Practitioner · Medford, OR
NPI number
1851366694
Active
Practice location
731 Summit Ave
Medford, OR 97501-2349
Fax (541) 842-3084
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 75721 (NC) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1851366694
Bonita Annette Ryall, N.P.'s National Provider Identifier is 1851366694, issued on Feb 22, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Medford, OR. The record was last updated on Jan 23, 2020.