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Taysha Marie Ryan
Family Nurse Practitioner in Champaign, Illinois
NPI 1770123804

Taysha Marie Ryan is a Family Nurse Practitioner based in Champaign, IL and is specialized in Family. Taysha Marie Ryan practices in Champaign, IL. The NPI Number for Taysha Marie Ryan is 1770123804 and holds a License No. 209020376 (Illinois).

The current practice location address for Taysha Marie Ryan is 309 W Clark St, Champaign, IL and can be reached out via phone at 217-398-9066 and via fax at 217-398-9077.

Location: 309 W Clark St, Champaign, IL, 61820-4637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770123804
Provider Name
Taysha Marie Ryan
Credential
Provider Entity Type
Individual
Gender
Female
Address
309 W Clark St, Champaign, IL, 61820-4637
Phone Number
217-398-9066
Fax Number
217-398-9077
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
309 W Clark St
City
Champaign
State
Illinois
Zip
61820-4637
Phone Number
217-398-9066
Fax Number
217-398-9077
person
Provider Business Mailing Address Details
Address
309 W Clark St
City
Champaign
State
Illinois
Zip
61820-4637
Phone Number
217-398-9066
Fax Number
217-398-9077
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209020376 (Illinois)
Definition
Definition to come...
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