Individual
AMANDA NAOMI RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8990 SPRINGBROOK DR. NW, SUITE 250, COON RAPIDS, MN 55433-5884
(763) 398-0099
(763) 398-0124
Mailing address
8990 SPRINGBROOK DR. NW, SUITE 250, COON RAPIDS, MN 55433-5884
(763) 398-0099
(763) 398-0124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 166854-8
MN
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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