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NPI Code Detail

MEDICARE: RYAN SILYE CNA

MEDICARE: RYAN SILYE CNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's Aide230012067510606MI

General Provider Information

NPI Number : 1972738524
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN SILYE CNA
Provider Business Mailing Address
First Line : 18915 W 12 MILE RD
Second Line :
City : LATHRUP VILLAGE
State : MI
Zip : 48076-2575
Country : US
Telephone Number : 248-416-1100
Fax Number : 248-416-1102
Provider Business Practice Location Address
First Line : 18915 W 12 MILE RD
Second Line :
City : LATHRUP VILLAGE
State : MI
Zip : 48076-2575
Country : US
Telephone Number : 248-416-1100
Fax Number : 248-416-1102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2009
Last Update Date : 05/27/2009

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Directions to “ RYAN SILYE CNA” Practice Location

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