Amanda Ryan

NPI 1114300332 · on the registry since 2015 · sole proprietor

Practice

Address: 2851 University Ave
Green Bay, WI 54311
Phone: (716) 440-4117
Organisation at this address: Milwaukee Vamc
Milwaukee Vamc
Milo C. Huempfner Cboc
Us Department Of Veteran Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 71

Registry record

Primary taxonomy: 261QV0200X
261QV0200X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin