Provider Demographics
NPI:1215116520
Name:RYAN, ERIN CECILIA (LM)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:CECILIA
Last Name:RYAN
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 CALAIS RD
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05682-9799
Mailing Address - Country:US
Mailing Address - Phone:802-272-4375
Mailing Address - Fax:
Practice Address - Street 1:121 CALAIS RD
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:VT
Practice Address - Zip Code:05682-9799
Practice Address - Country:US
Practice Address - Phone:802-272-4375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT107-0000013176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife