Whalio Doctors

NPI 1215039979

Robert Lawrence Ryan, CRNA

Practitioner Certified Registered Nurse Anesthetist Southaven, MS

Practice location

Address
7580 Clarington Cv, Southaven, MS 38671-5657
Phone
(662) 349-9136
Fax
(662) 349-0677
Mailing address
1856 Pecan Dr, Hernando, MS 38632-8023

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R691259 (MS)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence APN0000009584 (TN)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence C00318 CRNA (AR)

Registry record

NPI
1215039979
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.