Ryan Keenan
Nurse Practitioner - Psychiatric/Mental Health
267 Grant St
Bridgeport
, Connecticut 06610-2870
Ryan Keenan
Nurse Practitioner - Psychiatric/Mental Health
267 Grant St
Bridgeport
, Connecticut 06610-2870
(203) 605-0152
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Ryan Keenan
- 132 Stonewall Dr
- Hamden, CT
- Zip : 06518-1123
- Phone : (203) 605-0152
Second Address
- Ryan Keenan
- 267 Grant St
- Bridgeport, CT
- Zip : 06610-2870
- Phone : (203) 384-3000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 12.008970 | CT |
National Provider Identifier
| NPI | 1003425331 |
|---|---|
| Provider Name | Ryan Keenan |
| First Address | Hamden, CT 06518-1123 |
| Second Address | Bridgeport, CT 06610-2870 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2020 |
| Last Update Date | 30/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.