Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | R125379 | MD |
NPI | 1013988567 |
---|---|
Provider Name | Ms. Deborah Ryan |
First Address | Germantown, MD 20875-2130 |
Second Address | Silver Spring, MD 20910-1483 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2006 |
Last Update Date | 02/12/2019 |