MEDICARE: RYAN C PRICE 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
1	363LF0000X	Family Nurse Practitioner	A176051	IA
2	363L00000X	Nurse Practitioner	A176051	IA

General Provider Information

NPI Number	:	1447031752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN C PRICE ARNP

Provider Business Mailing Address
First Line	:	1235 E CHEROKEE ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-2203
Country	:	US
Telephone Number	:	417-820-3911
Fax Number	:	417-820-3919

Provider Business Practice Location Address
First Line	:	1235 E CHEROKEE ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-2203
Country	:	US
Telephone Number	:	417-820-3911
Fax Number	:	417-820-3919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	04/13/2026

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