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NPI Code Detail

MEDICARE: DR. RYAN J FUSON FNP-C, PMHNP-B, D.C.

MEDICARE: DR. RYAN J FUSON FNP-C, PMHNP-B, D.C.
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
1363L00000XNurse Practitioner5661479ID
2363L00000XNurse Practitioner881818NV
3363L00000XNurse Practitioner4704419881MI
4363LF0000XFamily Nurse PractitionerC-RXN.0101849-C-NPCO
5363LF0000XFamily Nurse Practitioner55235WY
6363LF0000XFamily Nurse Practitioner115600NE
7363LF0000XFamily Nurse Practitioner230539AR
8363LF0000XFamily Nurse Practitioner71015744AIN
9363LF0000XFamily Nurse PractitionerA181447IA
10363LP0808XPsychiatric/Mental Health Nurse Practitioner55235WY
11363LP0808XPsychiatric/Mental Health Nurse Practitioner1048921TX
12363LP0808XPsychiatric/Mental Health Nurse Practitioner230539AR
13363LF0000XFamily Nurse Practitioner1048921TX
14363LP0808XPsychiatric/Mental Health Nurse Practitioner115600NE
15363LP0808XPsychiatric/Mental Health Nurse Practitioner71015744AIN

General Provider Information

NPI Number : 1427210061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN J FUSON FNP-C, PMHNP-B, D.C.
Provider Business Mailing Address
First Line : 1855 GATTIS SCHOOL RD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-7428
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 1855 GATTIS SCHOOL RD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-7428
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2008
Last Update Date : 11/07/2024

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