Individual
DR. AMANDA D. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1619 SKYLINE CIR STE A, CARLSBAD, NM 88220-9842
(575) 941-4400
(833) 620-2406
Mailing address
1619 SKYLINE CIR STE A, CARLSBAD, NM 88220-9842
(575) 941-4400
(833) 620-2406
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
OC10503
FL
207RI0011X
Interventional Cardiology Physician
Primary
A-1931-16
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000430500
—
FL
01
—
78306
BCBS
FL
05
—
82500266
—
NM
Enumeration date
10/19/2006
Last updated
01/22/2026
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