Healthcare Provider Details

I. General information

NPI: 1861318610
Provider Name (Legal Business Name): ALYNA JOY RYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79405 ROAD 447
ANSLEY NE
68814-5193
US

IV. Provider business mailing address

79405 ROAD 447
ANSLEY NE
68814-5193
US

V. Phone/Fax

Practice location:
  • Phone: 402-619-2421
  • Fax:
Mailing address:
  • Phone: 402-619-2421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License NumberH14229936
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: