Ruyle-Ryan, Amanda Leigh

Ruyle-Ryan, Amanda Leigh is an individual health care provider with primary practice located at 3132 Old Jacksonville Rd Ste 200 , Springfield IL 62704-7401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Ruyle-Ryan, Amanda Leigh can be contacted via phone (217) 862-0800.

Contact Information

Primary practice address
3132 Old Jacksonville Rd Ste 200 Springfield IL 62704-7401
Phone: (217) 862-0800
Fax: (217) 862-0871
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209020475 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 277001660 Illinois

Profile Details

NPI number 1295361533
LBN Legal business name Ruyle-Ryan, Amanda Leigh
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2020
Last updated Dec 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295361533 NPPES
Illinois Other 041403381 RN LICENSE

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