AMANDA RYAN
NPI 1114300332
Clinic/Center - VA in Green Bay, WI

Active since July 07, 2015
2851 UNIVERSITY AVE, GREEN BAY, WI 54311(716) 440-4117 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Ryan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA RYAN (NPI 1114300332) is an individual va provider in Green Bay, Wisconsin, licensed in New York (060491) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1114300332
Entity TypeIndividualFemale
Primary Taxonomy261QV0200X
Provider Legal NameAMANDA RYAN
Location Address2851 UNIVERSITY AVEGreen Bay, WI 54311-5855
Mailing Address97 Promenade LnWilliamsville, NY 14221-1924 · (716) 440-4117
Sole ProprietorYes
Enumeration DateJuly 7, 2015
NPI 1114300332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
License Licensed in NY · 060491
2851 UNIVERSITY AVE, Green Bay, WI 54311

Other Identifiers 1

Other060491NY · New York State Pharmacist License Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Social Worker (Clinical)
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Clinic/Center (VA)
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Pharmacist (Ambulatory Care)
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Social Worker
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Pharmacist (Pharmacotherapy)
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Dietitian, Registered
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Registered Nurse
2851 UNIVERSITY AVE
GREEN BAY, WI 54311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Ryan's NPI number?

The NPI number for Amanda Ryan is 1114300332. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Amanda Ryan located?

Amanda Ryan practices at 2851 University Ave, Green Bay, WI 54311. The listed phone number is (716) 440-4117.

What is Amanda Ryan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Amanda Ryan was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.