Most Relevant Information
Provider Data
| NPI Number: | 1003215393 |
| Provider Name: | RYAN MATSON R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R67509 |
Most Important Dates
| Enumeration Date: | 08/22/2014 |
| Last Updated: | 08/22/2014 |
Provider Practice Location
4806 CONSTITUTION AVE NE
ALBUQUERQUE
NM
871105806
Practice Location Phone/Fax
| Phone: | 8326567173 |
| Fax: |
Provider Mailing Location
4806 CONSTITUTION AVE NE
ALBUQUERQUE
NM
871105806
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |