Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA RYAN
Active Sole ProprietorVA Clinic · GREEN BAY, WI
Registration Details
- NPI Number
- 1114300332
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2015 (10.792363628541 yrs)
- Last Updated
- Jul 7, 2015
- License
-
060491 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2851 UNIVERSITY AVEGREEN BAY, WI, 543115855Browse WI providers · Browse ZIP 54311
- Phone
- 7164404117
- Primary Specialty
-
VA Clinic
261QV0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.