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Contact Information

RYAN E RUSSI MYERS, FNP
3114 WILLETT DR
LARAMIE, WY82072
 Phone: 307-755-4540
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RYAN E RUSSI MYERS · (Male)

NPI # 1295348167
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/28/2020
Last updated 10/02/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # 48439
Hospital affiliation(s)
  • IVINSON MEMORIAL HOSPITAL - (Acute Care)
    255 N 30TH
    LARAMIE, WY 82072
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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