Most Relevant Information
Provider Data
| NPI Number: | 1003580408 |
| Provider Name: | DAVID L RYAN REGISTERED NURSE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R53350 |
Most Important Dates
| Enumeration Date: | 08/09/2021 |
| Last Updated: | 08/09/2021 |
Provider Practice Location
10 N MAIN ST
BRISTOL
CT
060108122
Practice Location Phone/Fax
| Phone: | 8607933500 |
| Fax: |
Provider Mailing Location
36 CHESTER ST
PLAINVILLE
CT
060622410
Provider Mailing Phone/Fax
| Phone: | 8607125221 |
| Fax: |