Maura N Ryan, RN
Individual provider Active NPI Registered Nurse · Williston Park, NY
NPI 1962770321 · NPPES record last updated Dec 13, 2011
Key facts
- NPI
- 1962770321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 425736 (NY)
- Practice address
- 610 Willis Ave
Apt 2J
Williston Park, NY 11596-1229 - Phone
- (516) 741-0106
- NPI assigned
- Dec 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 425736 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 425736 | NY | Yes |
Addresses
Primary practice location
610 Willis Ave
Apt 2J
Williston Park, NY 11596-1229
Mailing address
610 Willis Ave
Apt 2J
Williston Park, NY 11596-1229
Phone (516) 741-0106
Other providers in Williston Park, NY
- Jennifer Elyse Rubin
- Bruce A Rudin
- Jessica Rupp
- Russell Hu Physical Therapy
- Cathleen P Russo
- S.E.E.D.S. of the Willistons Inc.
- Jessica Schellig
- Joseph Schiera
- Sheri Elena Scott Calleo
- Nicolette Marie Scrozzo
All providers in Williston Park, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.