Provider Demographics
NPI:1730792268
Name:RYAN, DANIEL DAVID SR (RN)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:DAVID
Last Name:RYAN
Suffix:SR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:276 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1829
Mailing Address - Country:US
Mailing Address - Phone:610-937-2736
Mailing Address - Fax:215-721-1630
Practice Address - Street 1:276 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1829
Practice Address - Country:US
Practice Address - Phone:610-937-2736
Practice Address - Fax:215-721-1630
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN600723163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health