| Nicole M Ryan, | |
|
140 Commonwealth Ave, Chestnut Hill, MA 02467-3800 | |
| (617) 552-8000 | |
| Not Available |
| Full Name | Nicole M Ryan |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 140 Commonwealth Ave, Chestnut Hill, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467026450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN2324804 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN2324804 (Massachusetts) | Primary |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole M Ryan, 140 Commonwealth Ave, Chestnut Hill, MA 02467-3800 Ph: () - | Nicole M Ryan, 140 Commonwealth Ave, Chestnut Hill, MA 02467-3800 Ph: (617) 552-8000 |
Sherley Richemond, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 140 Commonwealth Ave, Chestnut Hill, MA 02467 Phone: 617-201-9930 | |
Emily Charlotte Cronin, STUDENT Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 140 Commonwealth Ave, Chestnut Hill, MA 02467 Phone: 617-552-2756 | |
Mary Nelson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 140 Commonwealth Ave, Chestnut Hill, MA 02467 Phone: 617-552-2756 |