Healthcare Provider Details

I. General information

NPI: 1295318848
Provider Name (Legal Business Name): STANTHIA NOLANDA RYAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2021
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR # 7600
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

101 MANNING DR # 7600
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-7833
  • Fax: 984-974-0290
Mailing address:
  • Phone: 984-974-7833
  • Fax: 984-974-0290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101285364
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number304667
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: