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NPI Code Detail

MEDICARE: NINA RYAN

MEDICARE:   NINA  RYAN
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMA

General Provider Information

NPI Number : 1548777253
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA RYAN
Provider Business Mailing Address
First Line : 28 ZINA RD
Second Line :
City : HUDSON
State : MA
Zip : 01749-1835
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 GRANT ST
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-6764
Country : US
Telephone Number : 508-834-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2018
Last Update Date : 03/17/2018

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Directions to “ NINA RYAN ” Practice Location

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