Individual provider · Type 1 NPI
Ryan Flynn Houghtalen, NP
Psychiatric/Mental Health Nurse Practitioner · Rochester, NY
NPI number
1164919940
Active
Practice location
224 Alexander St
Rochester, NY 14607
Other practice locations
- 300 Crittenden Blvd, Rochester, NY 14642-0001 · (585) 275-5300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 708092 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 402404 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1164919940
Ryan Flynn Houghtalen, NP's National Provider Identifier is 1164919940, issued on Apr 17, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rochester, NY. The record was last updated on Jun 21, 2018.