Organization
AMANDA J RYALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RYALS APRN (OWNER)
(501) 993-4307
Entity
Organization
Contact information
Practice address
2504 MCCAIN BLVD STE 200, NORTH LITTLE ROCK, AR 72116-7612
(501) 781-2230
(833) 226-0134
Mailing address
2504 MCCAIN BLVD STE 200, NORTH LITTLE ROCK, AR 72116-7612
(501) 781-2230
(833) 226-0134
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275566758
—
AR
Enumeration date
12/02/2021
Last updated
09/12/2023
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