Provider Demographics
NPI:1679083810
Name:CALLAHAN, RYAN CONROY (MPH, PA-C)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:CONROY
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:MPH, PA-C
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Other - First Name:
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Mailing Address - Street 1:220 CONGRESS PARK DR STE 245
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4605
Mailing Address - Country:US
Mailing Address - Phone:561-444-2351
Mailing Address - Fax:
Practice Address - Street 1:220 CONGRESS PARK DR STE 245
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4605
Practice Address - Country:US
Practice Address - Phone:561-444-2351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2020-09-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant