Provider Demographics
NPI:1598857989
Name:RYAN, RUTH ANN MARIE (MSN, CS)
Entity Type:Individual
Prefix:MS
First Name:RUTH ANN
Middle Name:MARIE
Last Name:RYAN
Suffix:
Gender:F
Credentials:MSN, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:979 HICKORY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-4419
Mailing Address - Country:US
Mailing Address - Phone:215-822-3898
Mailing Address - Fax:215-997-0779
Practice Address - Street 1:501 OFFICE CENTER DR
Practice Address - Street 2:SUITE 122
Practice Address - City:FT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3220
Practice Address - Country:US
Practice Address - Phone:215-654-1647
Practice Address - Fax:215-997-0779
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN202917L163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA638088Medicare ID - Type Unspecified