Mrs Cori Beth Ryan, LPN is a
Licensed Practical Nurse based in Caroga Lake, New York. Mrs Cori Beth Ryan is licensed to practice in New York (license number 307245-01) and her current practice location is
106 Lake Ave, Caroga Lake, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 835-2409.
NPI number for Mrs Cori Beth Ryan is 1255042321 and her current mailing address is Po Box 559, Caroga Lake, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255042321.
Provider's Profile
| Full Name | Mrs Cori Beth Ryan |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 106 Lake Ave, Caroga Lake, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255042321
- Provider Enumeration Date: 12/09/2022
- Last Update Date: 12/09/2022
Medical Identifiers
Medical identifiers for Mrs Cori Beth Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255042321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 307245-01 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Cori Beth Ryan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Cori Beth Ryan, LPN
Po Box 559,
Caroga Lake, NY 12032-0559
Ph: (518) 835-2409 | Mrs Cori Beth Ryan, LPN
106 Lake Ave,
Caroga Lake, NY 12032-0559
Ph: (518) 835-2409 |
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