Provider Demographics
NPI:1245655489
Name:PRYOR, RYAN E (CNM, FNP)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:E
Last Name:PRYOR
Suffix:
Gender:
Credentials:CNM, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1461
Mailing Address - Country:US
Mailing Address - Phone:413-538-2121
Mailing Address - Fax:413-538-2352
Practice Address - Street 1:50 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-1461
Practice Address - Country:US
Practice Address - Phone:413-538-2121
Practice Address - Fax:413-538-2352
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2290476367A00000X, 363LF0000X
NH082177-23367A00000X
MA2290476363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily