Individual provider · Type 1 NPI
Amanda Ryan
Nurse Practitioner · Detroit, MI
Practice location
3990 John R St
Detroit, MI 48201-2018
Fax (313) 993-2574
Mailing address
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Other practice locations
- 57486 Nicholas Dr, Washington Township, MI 48094-3159 · (586) 557-9348
- 6777 W Maple Rd, West Bloomfield, MI 48322-3013 · (248) 325-1555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704278661 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704278661 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1366897696
Amanda Ryan's National Provider Identifier is 1366897696, issued on Apr 23, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 8, 2023.