MEDICARE: MS. RUTH ANN MARIE RYAN MSN, CS

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN202917L	PA

General Provider Information

NPI Number	:	1598857989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RUTH ANN MARIE RYAN MSN, CS

Provider Business Mailing Address
First Line	:	979 HICKORY RIDGE DR
Second Line	:
City	:	CHALFONT
State	:	PA
Zip	:	18914-4419
Country	:	US
Telephone Number	:	215-822-3898
Fax Number	:	215-997-0779

Provider Business Practice Location Address
First Line	:	501 OFFICE CENTER DR
Second Line	:	SUITE 122
City	:	FT WASHINGTON
State	:	PA
Zip	:	19034-3220
Country	:	US
Telephone Number	:	215-654-1647
Fax Number	:	215-997-0779

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	07/08/2007

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