MS. STEPHANIE ELLEN RYAN


Address: 7166 Waterman Ave, University City, MO 63130-4325
Phone: 3146524100

MS. STEPHANIE ELLEN RYAN (NPI# 1780646489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780646489
Entity Type Individual
Full Name MS. STEPHANIE ELLEN RYAN
Credential NP, CDE
Practice Address 7166 Waterman Ave
University City
MO 63130-4325
Practice Telephone 3146524100
Practice Fax Number 3142896478
Mailing Telephone 3146524100
Mailing Fax Number 3142896478
Enumeration Date 2006-04-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
MO Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 7166 WATERMAN AVE
City UNIVERSITY CITY
State MO
Zip Code 63130-4325

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1548612419 Bella Home Care LLC In Home Supportive Care 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 2016-07-05
1225487341 Daniel Shenderov Chore Provider 8127 Delmar Blvd #208, Saint Louis, MO 63130 2016-06-09
1497012322 A Better Choice Homecare, Inc In Home Supportive Care 606 North and South Road, Suite 200, Saint Louis, MO 63130 2012-04-17
1306150958 Lisa J. Mcdonald, Dmd, Inc. Dentist 7247 Delmar Boulevard, St Louis, MO 63130 2010-08-05
1114247939 United Care Service LLC Non-emergency Medical Transport (VAN) 8147 Delmar Blvd. #2, St.louis, MO 63130 2010-06-03
1770759771 Reynold's Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7460 Cornell Ave, Saint Louis, MO 63130 2008-04-30
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City UNIVERSITY CITY
Zip Code 63130

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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