MAUREEN RYAN NP NPI 1821083239

NPI Information

NPI: 1821083239
Provider Name: MAUREEN RYAN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
436 44TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 531-9750
Get Directions

Maureen Ryan, NP is a family nurse practitioner in Grand Rapids, MI with 34 years of experience. Maureen Ryan, NP NPI is 1821083239. 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:

436 44TH ST SE
GRAND RAPIDS, MI
ZIP 49548-371
Phone: (616) 531-9750

The NPI 1821083239 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 9/13/2005 and was last updated on 11/28/2011.

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	363L00000X	Nurse Practitioner		4704130210	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	4704130210	MICHIGAN	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	MR130210	OTHER	MICHIGAN	BCBS
2	500028470	OTHER	MICHIGAN	RAILROAD MEDICARE
3	S81512	MEDICARE UPIN	MICHIGAN
4	D16091100	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
5	2921840	MEDICAID	MICHIGAN

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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