Susan L Ryan, CRNA
Nurse Anesthetist, Certified Registered in Rochester, MN. Individual provider (NPI-1).
NPI number1386618924
StatusActive
Last updated in NPPESOct 5, 2020
Details
- NPI
- 1386618924
- Entity type
- Individual (NPI-1)
- Name
- Susan L Ryan
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2006
- Certification date
- Oct 5, 2020
- Last updated
- Oct 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 7 | MN | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | R115437-9 | MN |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
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