Mr. Mark Kenneth Ryan, CRNPMSN
Mr. Mark Kenneth Ryan, CRNPMSN is a Nurse Practitioner in Laurel, Delaware. Qualified in 2002, 24 years ago. Practices with Tidalhealth Physician Network, Inc, a 114-clinician group and accepts Medicare assignment. Licensed in Delaware and Maryland.
- Years since qualifying
- 24
- Licensed in
- DE, MD
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
30549 Sussex HwyLaurel, DE 19956-3891
Phone: (302) 715-5214
Fax: (302) 628-6855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence LG-0000752 (DE) |
|---|---|
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence AC000091 (MD) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence AC000091 (MD) |
Record details
| NPI number | 1669447637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNPMSN |
| Sole proprietor | No |
| NPI enumerated | February 22, 2006 |
| Last updated in NPPES | February 29, 2016 |
| Mailing address | 30549 Sussex Hwy, Laurel, DE 19956-3891 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Tidalhealth Physician Network, Inc. — 114 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |