Individual
AMY NICHOLE RYLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
501 SE 172ND AVE, VANCOUVER, WA 98684
(360) 882-2778
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60791423
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2089846
—
WA
Enumeration date
09/14/2016
Last updated
08/06/2018
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