Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Ryan

Individual provider VA Clinic/Center · NPI 1114300332

Amanda Ryan is a VA Clinic/Center in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

2851 University Ave
Green Bay, WI 54311-5855
Phone: (716) 440-4117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

VA Clinic/Center (primary) Taxonomy 261QV0200X · Licence 060491 (NY)

Record details

NPI number1114300332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 7, 2015
Last updated in NPPESJuly 7, 2015

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