person
Ms. Victoria Eleanor Ryan, PA-C
Student in an Organized Health Care Education/Training Program in Pocatello, Idaho
NPI 1003980210

Victoria Eleanor Ryan is a Student in an Organized Health Care Education/Training Program based in Pocatello, ID. Victoria Eleanor Ryan practices in Pocatello, ID and has the professional credentials of PA-C. The NPI Number for Victoria Eleanor Ryan is 1003980210 and holds a License No. PA-626 (Idaho).

The current practice location address for Victoria Eleanor Ryan is 990 Cesar Chavez Ave, Pocatello, ID and can be reached out via phone at 208-282-2330.

Location: 990 Cesar Chavez Ave, Pocatello, ID, 83209-0001
person
Provider Profile Details
NPI Number
1003980210
Provider Name
Victoria Eleanor Ryan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
990 Cesar Chavez Ave, Pocatello, ID, 83209-0001
Phone Number
208-282-2330
Fax Number
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
990 Cesar Chavez Ave
City
State
Zip
83209-0001
Phone Number
208-282-2330
Fax Number
person
Provider Business Mailing Address Details
Address
990 Cesar Chavez Ave
City
State
Zip
83209-0001
Phone Number
208-282-2330
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
PA-626 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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