IndividualActive
Alta Ryan
NPI 1639104359 · Obstetrics & Gynecology Nurse Practitioner · Rockford, IL
Provider details
- NPI number
- 1639104359
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209.000800 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
209 9th St
Suite 200
Rockford, IL 61104-2235
Phone: (779) 696-2750
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1567
Rockford, IL 61110-0067
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2015-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.