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

Amanda Ryan

Individual provider Registered Nurse · NPI 1366897696

Amanda Ryan is a Nurse Practitioner in Detroit, Michigan. Qualified in 2016, 10 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3990 John R St
Detroit, MI 48201-2018
Phone: (313) 745-5111
Fax: (313) 993-2574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 57486 Nicholas Dr, Washington Township, MI 48094-3159 — (586) 557-9348
  • 6777 W Maple Rd, West Bloomfield, MI 48322-3013 — (248) 325-1555

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704278661 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704278661 (MI)

Record details

NPI number1366897696
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2016
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Detroit