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NPI Code Detail

MEDICARE: ALISON L RYAN ARNP

MEDICARE: ALISON L RYAN ARNP
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
1163W00000XRegistered NurseRN60387390WA
2363LF0000XFamily Nurse PractitionerAP60800087WA
3363L00000XNurse PractitionerAP60800087WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053823641
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON L RYAN ARNP
Provider Business Mailing Address
First Line : PO BOX 25608
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84125-0608
Country : US
Telephone Number : 206-320-4476
Fax Number : 206-568-7043
Provider Business Practice Location Address
First Line : 1221 MADISON ST STE 500
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1388
Country : US
Telephone Number : 206-386-2552
Fax Number : 206-215-3959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2017
Last Update Date : 06/27/2025

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