Individual provider · Type 1 NPI
Ryan Keenan, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Bridgeport, CT
NPI number
1003425331
Active
Practice location
267 Grant St
Bridgeport, CT 06610-2870
Mailing address
132 Stonewall Dr
Hamden, CT 06518-1123
Other practice locations
- 157 Church St Ste 1976, New Haven, CT 06510-2100 · (000) 000-0000
- 132 Stonewall Dr, Hamden, CT 06518-1123 · (203) 605-0152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 12.008970 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003425331
Ryan Keenan, PMHNP's National Provider Identifier is 1003425331, issued on Jul 22, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bridgeport, CT. The record was last updated on Jan 30, 2022.