Alta L Ryan

NPI #1639104359 in Rockford, Illinois

Provider Information

NPI Number
1639104359
Entity Type
Individual
Name
Alta L Ryan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Obstetrics & Gynecology
Enumeration Date
Jul 11, 2006
Last Updated
Jul 1, 2015

Practice Location

Address
209 9TH ST
Address 2
SUITE 200
ZIP Code
61104-2235
Phone
(779) 696-2750

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Obstetrics & GynecologyObstetrics & Gynecology

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