NPI 1003425331

Ryan Keenan, PMHNP

Practitioner Psychiatric/Mental Health Nurse Practitioner Bridgeport, CT

Practice location

Address: 267 Grant St, Bridgeport, CT 06610-2870
Phone: (203) 384-3000
Mailing address: 132 Stonewall Dr, Hamden, CT 06518-1123

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 12.008970 (CT)

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Registry record

NPI: 1003425331
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2020
Record last updated: 30 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.