Individual
AMANDA MARIE RYBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE ST ERIE, ERIE, PA 16550-0001
(843) 425-9067
Mailing address
5801 HOLLOWAY ST, WESTWORTH VILLAGE, TX 76114-4209
(843) 425-9067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN752659
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN752659
PA RN LICENSE
PA
Enumeration date
11/01/2024
Last updated
11/01/2024
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