Individual provider · Type 1 NPI

Dominique Ryan, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Clearwater, FL

NPI number 1306646641 Active

Practice location

2629 Mccormick Dr., Bldg 6, Ste 101
Clearwater, FL 33759

Call (727) 241-7555 Map

Mailing address

5121 Bay Isle Cir
Clearwater, FL 33760-2960

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11038229 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1306646641

Dominique Ryan, PMHNP-BC's National Provider Identifier is 1306646641, issued on Mar 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clearwater, FL. The record was last updated on Mar 17, 2025.