Individual provider · Type 1 NPI
Ryan Thebo
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1043761141
Active
Practice location
8880 Rio San Diego Dr Ste 800
San Diego, CA 92108-1642
Mailing address
440 N Barranca Ave Apt 20
Covina, CA 91723-1722
Other practice locations
- Silverlining Psychiatry Medical Group, 3252 Holiday Ct #108, La Jolla, CA 92037 · (858) 230-7585
- 2510 El Camino Real, Carlsbad, CA 92008-1273 · (760) 729-8941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95003068 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95003068 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1043761141
Ryan Thebo's National Provider Identifier is 1043761141, issued on Oct 24, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Jun 12, 2023.