MRS. TERESITA RYAN APRN NPI 1215392154

NPI Information

NPI: 1215392154
Provider Name: MRS. TERESITA RYAN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1050 GRAPE AVE
SAINT CLOUD, FL
ZIP 34769
Phone: (407) 943-8600
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MRS. Teresita Ryan, APRN is a family nurse practitioner in Saint Cloud, FL with 9 years of experience. MRS. Teresita Ryan, APRN NPI is 1215392154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1050 GRAPE AVE
SAINT CLOUD, FL
ZIP 34769-965
Phone: (407) 943-8600
Fax: (833) 464-3650

The NPI 1215392154 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/18/2015 and was last updated on 6/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	9298416	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP9298416	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101231600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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