Ryan Keenan, PMHNP
Nurse Practitioner, Psych/Mental Health in Bridgeport, CT. Individual provider (NPI-1).
NPI number1003425331
StatusActive
Last updated in NPPESJan 30, 2022
Details
- NPI
- 1003425331
- Entity type
- Individual (NPI-1)
- Name
- Ryan Keenan
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2020
- Certification date
- Jan 30, 2022
- Last updated
- Jan 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 12.008970 | CT | Yes |
Practice location
267 Grant StBridgeport, CT 06610-2870
Phone 203-384-3000
Mailing address
132 Stonewall DrHamden, CT 06518-1123
Phone 203-605-0152
Other practice locations
132 Stonewall Dr
Hamden, CT 06518-1123
Hamden, CT 06518-1123
Phone 203-605-0152
157 Church St Ste 1976
New Haven, CT 06510-2100
New Haven, CT 06510-2100
Phone 000-000-0000
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All 48 Psychiatric/Mental Health Nurse Practitioner providers in Bridgeport · All 3,629 providers in Bridgeport
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