Provider Demographics
NPI:1508575945
Name:RYABIK, MARY BETH (RN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:BETH
Last Name:RYABIK
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 1:2708 TISCHLER RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-3835
Mailing Address - Country:US
Mailing Address - Phone:972-523-7975
Mailing Address - Fax:
Practice Address - Street 1:2708 TISCHLER RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-3835
Practice Address - Country:US
Practice Address - Phone:972-523-7975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX759518163W00000X
PARN752176163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse