Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP60997761 | WA |
N | 363LP2300X | Nurse Practitioner - Primary Care | 209018364 | IL |
NPI | 1033684428 |
---|---|
Provider Name | Hana K Ryan |
First Address | Seattle, WA 98101-2756 |
Second Address | Bellevue, WA 98004-5268 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2018 |
Last Update Date | 02/03/2021 |