Male or Other

Mr. Ryan W. Macalua ARNP, FNP-C

Nurse Practitioner in Tampa, FL(View on Map)

Full Name

Mr. Ryan Wilson Macalua ARNP, FNP-C

NPI Number

1174919377

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/14/2015

Specialties

(Taxonomies)

Code

363L00000X
363LF0000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ARNP9204952

Contact
Information

Purpose

Mailing
Location

Address

9009 CORPORATE LAKE DR
9009 CORPORATE LAKE DR

City

Tampa
Tampa

State

FL
FL

Postal Code

33634-2367
33634-2367

Country

US
US

Telephone Number

N/A
(407) 274-8267

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/18/2015

Provider Address

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