Individual ProviderMiriam Bloomfield RyanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address685 Good Dr, Lancaster, PA 17601-2426(717) 295-3900PECOS EnrollmentBased on the most recent information from CMS, provider Miriam Bloomfield Ryan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366424038Provider TypeIndividualFull NameRyan, Miriam BloomfieldCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date11/17/2005Last Updated1/21/2011Contact InformationPractice LocationPractice Address685 Good Dr, Lancaster, PA 17601-2426Phone(717) 295-3900Fax(717) 735-8728Mailing LocationMailing Address685 Good Dr, Po Box 4125, Lancaster, PA 17601-2426Phone(717) 295-3900Fax(717) 391-2459Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP005030BPennsylvaniaProvider IdentifiersIDDescriptionIssuerIDP00362536DescriptionOtherIssuerRAILROAD MEDICAREPennsylvania