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Mary Ellen Ryan, NP
Pediatric Nurse Practitioner in Burlington, Massachusetts
NPI 1679752208

Mary Ellen Ryan is a Pediatric Nurse Practitioner based in Stratham, MA and is specialized in Pediatrics. Mary Ellen Ryan practices in Burlington, MA and has the professional credentials of NP. The NPI Number for Mary Ellen Ryan is 1679752208 and holds a License No. RN178290 (Massachusetts).

The current practice location address for Mary Ellen Ryan is 20 Wall St, Burlington, MA and can be reached out via phone at 617-774-0774.

Location: 20 Wall St, Burlington, MA, 03885-2289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679752208
Provider Name
Mary Ellen Ryan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
20 Wall St, Burlington, MA, 03885-2289
Phone Number
617-774-0774
Fax Number
Provider Enumeration Date
10/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30340376 05 NH
23YP02412NH01 01 ANTHEM
281670099 05 ME
institution
Provider Business Practice Location Address Details
Address
20 Wall St
City
Burlington
State
Massachusetts
Zip
01803-4758
Phone Number
617-774-0774
Fax Number
person
Provider Business Mailing Address Details
Address
20 Wall St
City
Burlington
State
Massachusetts
Zip
01803-4758
Phone Number
617-774-0774
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN178290 (Massachusetts)
Definition
Definition to come...
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