# MIRMIR PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639826498
- **Authorized official:** RYAN KENNAN APRN (OWNER/APRN)
- **Authorized official phone:** (202) 734-7926

## Contact information

- **Practice address:** 157 CHURCH ST STE 1976, NEW HAVEN, CT 06510-2100
- **Practice address phone:** (202) 734-7926
- **Mailing address:** 157 CHURCH ST STE 1976, NEW HAVEN, CT 06510-2100
- **Mailing address phone:** (202) 734-7926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2022
- **Last updated:** 03/02/2022