| Tara L Ryan, FNP-C | |
|
2900 16th St, Bedford, IN 47421-3510 | |
| (812) 276-4358 | |
| Not Available |
| Full Name | Tara L Ryan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2900 16th St, Bedford, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417725052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28161823A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71014835A (Indiana) | Primary |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara L Ryan, FNP-C 2900 16th St, Bedford, IN 47421-3510 Ph: () - | Tara L Ryan, FNP-C 2900 16th St, Bedford, IN 47421-3510 Ph: (812) 276-4358 |
Mr. Tyler Lee White, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469 | |
Stephanie Ann Mason, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 23rd St, Bedford, IN 47421 Phone: 812-275-3331 | |
Jamie R Bohnke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
Mrs. Alyssa Brooke Kellams, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2418 16th St, Bedford, IN 47421 Phone: 812-508-8683 | |
Barbara Deich, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-5352 Fax: 812-275-1374 | |
Mrs. Amanda Sue Bowman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 Lincoln Ave, Bedford, IN 47421 Phone: 812-675-4470 Fax: 812-675-4469 | |
Cathern Amanda Pruett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 |