Amanda Leigh Ryan, APN | |
1604 Cleveland Rd, Colona, IL 61241-8970 | |
(309) 949-2999 | |
(309) 944-9199 |
Full Name | Amanda Leigh Ryan |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1604 Cleveland Rd, Colona, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962831511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | H154347 (Iowa) | Secondary |
363L00000X | Nurse Practitioner | 277.002465 (Illinois) | Primary |
Entity Name | Unity Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629122742 PECOS PAC ID: 8224931548 Enrollment ID: O20040202000524 |
Entity Name | Community Care Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210324001310 |
Mailing Address | Practice Location Address |
---|---|
Amanda Leigh Ryan, APN 1604 Cleveland Rd, Colona, IL 61241-8970 Ph: (309) 949-2999 | Amanda Leigh Ryan, APN 1604 Cleveland Rd, Colona, IL 61241-8970 Ph: (309) 949-2999 |
Dina Michelle Lentz, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 909 5th St, Colona, IL 61241 Phone: 309-373-4884 | |
Mrs. Brandi Mae Heinecke, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Cleveland Rd, Colona, IL 61241 Phone: 309-949-2999 | |
Dawn Bopes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 Lake View Ct, Colona, IL 61241 Phone: 432-634-4963 |