Provider Demographics
NPI:1528866936
Name:RYAN, ALAN CODY (DNP, MA, APRN, FNP)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CODY
Last Name:RYAN
Suffix:
Gender:M
Credentials:DNP, MA, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8123 ARDENIA LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-2201
Mailing Address - Country:US
Mailing Address - Phone:502-445-8994
Mailing Address - Fax:
Practice Address - Street 1:1101 E WASHINGTON ST STE A
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-1822
Practice Address - Country:US
Practice Address - Phone:502-546-6069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4035881363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily