Most Relevant Information
Provider Data
| NPI Number: | 1003422676 |
| Provider Name: | AMBER M RYAN NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704294251 |
Most Important Dates
| Enumeration Date: | 09/18/2020 |
| Last Updated: | 09/18/2020 |
Provider Practice Location
2799 N CEDAR LAKE RD
STANTON
MI
488889417
Practice Location Phone/Fax
| Phone: | 9895654850 |
| Fax: |
Provider Mailing Location
2799 N CEDAR LAKE RD
STANTON
MI
488889417
Provider Mailing Phone/Fax
| Phone: | 9895654850 |
| Fax: |