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ELIZABETH RYAN PA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1376015487

Individual Registrant:
 ELIZABETH  RYAN PA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
522 PRONGHORN PLACE  MORAN, WY 83013-8301 US
Tel: 307-543-2514  Fax: --

Contact information for business:
PO BOX 428  JACKSON, WY 83001-0428 US
Tel: 307-543-2514  Fax: --

Registration Information:
NPI: 1376015487
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
WYPT926

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
204777200WY05




HEALTH CARE JOBS WY - Page 1



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