Ryan C Sportel in Hayward - Nurse Practitioner
Ryan C Sportel - NPI 1194987636
Ryan C Sportel is a Nurse Practitioner in Hayward, Wisconsin. Ryan C Sportel practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Ryan C Sportel is 1194987636. The last update date is 2023-01-26.
Ryan C Sportel's current location address is 11040 N State Road 77, Hayward, Wisconsin. You can contact this provider via phone number 7159344492. The mailing address for Ryan C Sportel is 11040 N State Road 77, Hayward, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan C Sportel |
|---|---|
| Address | 11040 N State Road 77, Hayward, Wisconsin |
| Phone Number | 7159344492 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1194987636 |
|---|---|
| Provider Enumeration Date | 2008-06-26 |
| Last Updated Date | 2023-01-26 |
Provider Mailing Address Detail
| Address | 11040 N State Road 77 |
|---|---|
| City | Hayward |
| State | Wisconsin (WI) |
| Post Code | 548433606 |
| Phone Number | 7159344492 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 9368 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1194987636 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ryan C Sportel by the Centers for Medicare & Medicaid Services?
The Ryan C Sportel has been issued the NPI (National Provider Identifier) 1194987636 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Ryan C Sportel is physically located?
The Ryan C Sportel is physically situated at the following address: 11040 N State Road 77, Hayward, WI, 548433606.
What is the Ryan C Sportel's specialty and taxonomy code?
The Ryan C Sportel's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date was the 1194987636 assigned to Ryan C Sportel?
The Ryan C Sportel was issued its 1194987636 on 2008-06-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Ryan C Sportel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ryan C Sportel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-01-26.
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