AMANDA RYAN, VA GREEN BAY, WI

Contact Information

AMANDA RYAN

2851 UNIVERSITY AVE
GREEN BAY, WI 54311-5855

Phone: 716-440-4117
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	VA	261QV0200X

Indicates primary specialty

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NPI Profile & details for AMANDA RYAN · (Female)

NPI #	`1114300332`
Status	Active
Credentials
Entity	Individual
Enumeration date	07/07/2015
Last updated	07/07/2015 - About 11 years ago
Sole proprietor ¹	Yes
Identifiers	NY License # 060491 NY Other 060491 NEW YORK STATE PHARMACIST LICENSE NUMBER
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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