Individual provider · Type 1 NPI

Ryan Mabe Bolt, PMHNP-BC, FNP-C

Psychiatric/Mental Health Nurse Practitioner · San Diego, CA

NPI number 1639679822 Active

Practice location

10620 Treena St Ste 230
San Diego, CA 92131-1140

Fax (504) 290-1145

Other practice locations

  • 7830 Clairemont Mesa Blvd Ste 100, San Diego, CA 92111-1632 · (858) 268-1111

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95008584 (CA)
Family Nurse Practitioner 363LF0000X95008584 (CA)

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

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About NPI 1639679822

Ryan Mabe Bolt, PMHNP-BC, FNP-C's National Provider Identifier is 1639679822, issued on Feb 14, 2018. 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 Nov 2, 2023.