AMANDA RYAN


Address: 2851 University Ave, Green Bay, WI 54311-5855
Phone: 7164404117

AMANDA RYAN (NPI# 1114300332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114300332
Entity Type Individual
Full Name AMANDA RYAN
Practice Address 2851 University Ave
Green Bay
WI 54311-5855
Mailing Address 97 Promenade Ln
Williamsville
NY 14221-1924
Practice Telephone 7164404117
Mailing Telephone 7164404117
Enumeration Date 2015-07-07
Last Update Date 2015-07-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
060491 NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY NEW YORK STATE PHARMACIST LICENSE NUMBER 060491 01

Other Providers AMANDA RYAN

NPI Name Taxonomy Address Enumeration
1568929412 Amanda Kay Ryan Specialist/Technologist 1612 Gingercreek Ct, Sycamore, IL 60178-2722 2019-02-27
1740581594 Amanda Naomi Ryan Nurse Anesthetist, Certified Registered 8990 Springbrook Dr. Nw, Suite 250, Coon Rapids, MN 55433-5884 2010-11-10
1225347073 Amanda Ryan Occupational Therapist 1035 Beach Rd, Apt F2, Cheektowaga, NY 14225-1278 2010-09-28
1528224888 Amanda Ryan Counselor 573 Highland Dr Apt 6, San Luis Obispo, CA 93405-1129 2008-08-05
1972010072 Amanda Ryan Case Manager/Care Coordinator 3737 Portland Rd Ne, Salem, OR 97301-0311 2018-01-10
1730600206 Amanda Marie Ryan Physical Therapist 8853 Wagner Ct, Highlands Ranch, CO 80126-5244 2017-07-05
1407399900 Amanda Ryan Speech-Language Pathologist 330 Rugby Rd, Brooklyn, NY 11226-4552 2016-12-01
1982156329 Amanda Ryan Registered Nurse 151 Jerome St, Medford, MA 02155-3534 2016-11-02
1366897696 Amanda Ryan Registered Nurse 3990 John R St, Detroit, MI 48201-2018 2016-04-23
1962831511 Amanda Ryan Nurse Practitioner 3315 N Seminary St, Galesburg, IL 61401-1251 2013-11-04

Office Location

Street Address 2851 UNIVERSITY AVE
City GREEN BAY
State WI
Zip Code 54311-5855

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275845414 Michelle Schleis Optometrist 2851 University Ave, Green Bay, WI 54311-5855 2010-07-03
1154932739 Brenna Rainey Pharmacist 2851 University Ave, Green Bay, WI 54311-5855 2020-08-16
1891310827 James Boddy Registered Nurse 2851 University Ave, Green Bay, WI 54311-5855 2020-06-16
1013531656 Michael Tadayuki Miyamoto Student in an Organized Health Care Education/Training Program 2851 University Ave, Green Bay, WI 54311-5855 2020-05-29
1184245326 Kevin Michael Hansen Student in an Organized Health Care Education/Training Program 2851 University Ave, Green Bay, WI 54311-5855 2020-04-28
1346869625 Jessica Rae Enright Registered Nurse 2851 University Ave, Green Bay, WI 54311-5855 2020-04-16
1689201832 Ifeanyi Jeffrey Mbah Student in an Organized Health Care Education/Training Program 2851 University Ave, Green Bay, WI 54311-5855 2020-03-26
1235762527 Michael James Valerius Registered Nurse 2851 University Ave, Green Bay, WI 54311-5855 2020-02-15
1578110490 Lisa Ann Rienow Nurse Practitioner 2851 University Ave, Green Bay, WI 54311-5855 2019-08-26
1487209623 Deanna R Nelson Dietitian, Registered 2851 University Ave, Green Bay, WI 54311-5855 2019-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295333847 Karen Ginnow Pharmacist Walmart #1908, 2292 Main St, Green Bay, WI 54311 2020-10-15
1639786551 Maggie Hall Dental Hygienist 2633 Development Dr. Ste 40, Green Bay, WI 54311 2020-09-24
1295370807 Jennifer Marie Arendt Technician 2970 Mossy Oak Cir #39, Green Bay, WI 54311 2019-11-07
1518508803 Cheryl Ann Johnson Specialist 830 Edgewood Dr., Green Bay, WI 54311 2019-10-08
1124670898 Robert H Wagner Family Dentist S.c. Dentist 2830 Curry Court, Suite 1, Green Bay, WI 54311 2019-07-12
1821659624 The Salvation Army Counselor The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 2019-06-24
1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1861916769 Atlas Spinal Care Chiropractor 2069 Central Ct, Suite 11, Green Bay, WI 54311 2017-08-01
1851844161 Green Bay Family Dental LLC Dentist 2609 Development Dr., Green Bay, WI 54311 2016-08-03
1710382809 Betsy Hoida Pharmacist 2485 Greenbrier Rd., Green Bay, WI 54311 2014-10-31
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Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003861014 Milwaukee Vamc Clinic/Center 2851 University Avenue, Green Bay, WI 54311-0008 2006-05-24
1205269610 Milo C. Huempfner Cboc Clinic/Center 2851 University Ave, Green Bay, WI 54311-5855 2013-08-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285005504 Milwaukee Vamc Clinic/Center 1818 N Martin Luther King Dr, Milwaukee, WI 53212-3640 2015-10-13
1376988402 Zablocki Va Medical Center Clinic/Center 5922 Bluff Ledge Rd, Sturgeon Bay, WI 54235-8148 2013-05-02
1235320912 Minneapolis Vamc Clinic/Center 10369 State Highway 27, Hayward, WI 54843-9998 2007-08-07
1881634616 Tomah Vamc Clinic/Center 700 Hale St, Wisconsin Rapids, WI 54495-2787 2006-06-08
1275573677 Tomah Vamc Clinic/Center 515 S 32nd Ave, Wausau, WI 54401-4074 2006-06-07
1902853567 Tomah Vamc Clinic/Center 8 Johnson St, Owen, WI 54460-9534 2006-05-28
1104873298 Tomah Vamc Clinic/Center 4000 State Road 16, La Crosse, WI 54601-1809 2006-05-27
1144276064 James A Lovell Federal Health Care Center Clinic/Center 8207 22nd Ave, Kenosha, WI 53143-6211 2006-05-25
1124074810 Madison Vamc Clinic/Center 1141 Black Bridge Rd, Janesville, WI 53545-1092 2006-05-25
1417902941 Minneapolis Vamc Clinic/Center 475 Chippewa Mall Drive, Suite 418, Chippewa Falls, WI 54729-5047 2006-05-23
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Competitor

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City GREEN BAY
Zip Code 54311

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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