Provider Demographics
NPI:1831348291
Name:RYALS, AMANDA J (APN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:J
Last Name:RYALS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:J
Other - Last Name:BYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:2504 MCCAIN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-7612
Mailing Address - Country:US
Mailing Address - Phone:501-781-2230
Mailing Address - Fax:833-226-0134
Practice Address - Street 1:2504 MCCAIN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7612
Practice Address - Country:US
Practice Address - Phone:501-781-2230
Practice Address - Fax:833-226-0134
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03183363LP0808X
ARR71480163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health