Most Relevant Information
Provider Data
| NPI Number: | 1003015447 |
| Provider Name: | RYAN EUGENE PARNHAM NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209006653 |
Most Important Dates
| Enumeration Date: | 07/16/2007 |
| Last Updated: | 03/17/2009 |
Provider Practice Location
530 NE GLEN OAK AVE
SUITE 108
PEORIA
IL
615373167
Practice Location Phone/Fax
| Phone: | 3096248818 |
| Fax: |
Provider Mailing Location
530 NE GLEN OAK AVE
SUITE 108
PEORIA
IL
615373167
Provider Mailing Phone/Fax
| Phone: | 3096248818 |
| Fax: |