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

Ryan Holley - Mallo, DNP, FNP-C

Individual provider Family Nurse Practitioner · NPI 1992094403

Ryan Holley - Mallo, DNP, FNP-C is a Nurse Practitioner in Novi, Michigan. Qualified in 2012, 14 years ago. Practices with Mid-Michigan Neurology Center, PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone: (248) 660-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704259565 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704259565 (MI)

Record details

NPI number1992094403
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , FNP-C
Sole proprietorNo
NPI enumeratedApril 5, 2011
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mid-Michigan Neurology Center, Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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