Provider Demographics
NPI:1730066184
Name:HARPER, RYAN SHAWN (RN)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:SHAWN
Last Name:HARPER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 VALHALLA WAY
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-4001
Mailing Address - Country:US
Mailing Address - Phone:205-919-1435
Mailing Address - Fax:
Practice Address - Street 1:1008 VALHALLA WAY
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-4001
Practice Address - Country:US
Practice Address - Phone:205-919-1435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-185939163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse