IndividualActive
Adam Ryan
NPI 1093458622 · Registered Nurse · Grand Rapids, MI
Provider details
- NPI number
- 1093458622
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4704287154 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
5300 Patterson Ave Se
Grand Rapids, MI 49512-5663
Phone: (616) 222-5601
Approximate (ZIP-level) locationGet directions
Mailing address
5300 Patterson Ave Se
Grand Rapids, MI 49512-5663
Registry dates
- Enumerated
- 2022-04-20
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.