John Ryan McLane, BSN, MPH

Individual provider Active NPI Community Health Registered Nurse · Nome, AK

NPI 1467585240 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1467585240
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
18790 (AK)
Practice address
5TH Avenue and Bering Street
Nome, AK 99762
Phone
(907) 443-3302
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
18790AKMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 18790 AK Yes

Addresses

Primary practice location

5TH Avenue and Bering Street
Nome, AK 99762

Mailing address

PO Box 1169
Nome, AK 99762-1169

Other providers in Nome, AK

All providers in Nome, AK · Community Health Registered Nurse in Alaska

Sources for this page

Verify at the official NPI Registry.