Individual
AMANDA MARIE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, DNP
Contact information
Practice address
1744 FURY WAY, VIRGINIA BEACH, VA 23456-6995
(757) 237-7307
Mailing address
1744 FURY WAY, VIRGINIA BEACH, VA 23456-6995
(757) 237-7307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
794027
NY
363LF0000X
Family Nurse Practitioner
Primary
0024186531
VA
Other
Enumeration date
05/02/2023
Last updated
05/20/2023
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