Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 53-77829 | KS |
N | 363L00000X | Nurse Practitioner | 8233 | CT |
N | 363LA2100X | Nurse Practitioner - Acute Care | 10205 | WI |
N | 363LA2100X | Nurse Practitioner - Acute Care | 53-77829 | KS |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 8233 | CT |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 10205 | WI |
NPI | 1518485358 |
---|---|
Provider Name | Christopher Ryan Birdsell |
First Address | Salina, KS 67401-4144 |
Second Address | Hartford, CT 06102-8000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2017 |
Last Update Date | 24/03/2021 |