person
Alta L Ryan
Obstetrics & Gynecology Nurse Practitioner in Rockford, Illinois
NPI 1639104359

Alta L Ryan is a Obstetrics & Gynecology Nurse Practitioner based in Rockford, IL and is specialized in Obstetrics & Gynecology. Alta L Ryan practices in Rockford, IL. The NPI Number for Alta L Ryan is 1639104359 and holds a License No. 209.000800 (Illinois).

The current practice location address for Alta L Ryan is 209 9Th St, Rockford, IL and can be reached out via phone at 779-696-2750. You can also correspond with Alta L Ryan through the mailing address at PO BOX 1567, ROCKFORD, IL - 61110-0067 (mailing address contact number: ).

Location: 209 9Th St, Rockford, IL, 61110-0067
person
Provider Profile Details
NPI Number
1639104359
Provider Name
Alta L Ryan
Credential
Provider Entity Type
Individual
Gender
Female
Address
209 9Th St, Rockford, IL, 61110-0067
Phone Number
779-696-2750
Fax Number
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
209 9Th St
City
State
Zip
61104-2235
Phone Number
779-696-2750
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 1567
City
State
Zip
61110-0067
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
209.000800 (Illinois)
Definition
Definition to come...
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