person
Mr. Ryan Mabe Bolt, PMHNP-BC,FNP-C
Family Nurse Practitioner in San Diego, California
NPI 1639679822

Ryan Mabe Bolt is a Family Nurse Practitioner based in San Diego, CA and is specialized in Family. Ryan Mabe Bolt practices in San Diego, CA and has the professional credentials of PMHNP-BC,FNP-C. The NPI Number for Ryan Mabe Bolt is 1639679822 and holds a License No. 95008584 (California).

The current practice location address for Ryan Mabe Bolt is 10620 Treena St Ste 230, San Diego, CA and can be reached out via phone at 858-609-9763 and via fax at 504-290-1145.

Location: 10620 Treena St Ste 230, San Diego, CA, 92131-1140
person
Provider Profile Details
NPI Number
1639679822
Provider Name
Ryan Mabe Bolt
Credential
PMHNP-BC,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
10620 Treena St Ste 230, San Diego, CA, 92131-1140
Phone Number
858-609-9763
Fax Number
504-290-1145
Provider Enumeration Date
02/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10620 Treena St Ste 230
City
State
Zip
92131-1140
Phone Number
858-609-9763
Fax Number
504-290-1145
person
Provider Business Mailing Address Details
Address
10620 Treena St Ste 230
City
State
Zip
92131-1140
Phone Number
858-609-9763
Fax Number
504-290-1145
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95008584 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95008584 (California)
Definition
Definition to come...
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