Amanda J Ryals, LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · North Little Rock, AR
NPI 1780342196 · NPPES record last updated Sep 12, 2023
Key facts
- NPI
- 1780342196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- AMANDA J RYALS, LLC
- Practice address
- 2504 McCain Blvd Ste 200
North Little Rock, AR 72116-7612 - Phone
- (501) 781-2230
- Fax
- (833) 226-0134
- NPI assigned
- Dec 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Amanda Ryals, APRN
- Title
- Owner
- Phone
- (501) 993-4307
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
2504 McCain Blvd Ste 200
North Little Rock, AR 72116-7612
Mailing address
2504 McCain Blvd Ste 200
North Little Rock, AR 72116-7612
Phone (501) 781-2230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275566758 | Medicaid | AR |
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All providers in North Little Rock, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.