Provider Demographics
NPI:1043910102
Name:RYNESKI, MORGAN (RN)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:RYNESKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 N SHADOWOOD CIR # A
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-6362
Mailing Address - Country:US
Mailing Address - Phone:907-315-7928
Mailing Address - Fax:
Practice Address - Street 1:601 N SHADOWOOD CIR # A
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-6362
Practice Address - Country:US
Practice Address - Phone:907-315-7928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK128037163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health