Individual
KELLY RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, APRN-CNP
Contact information
Practice address
3155 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(402) 677-9083
Mailing address
3155 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(402) 677-9083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019762
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PMHNP-BC
MI
Other
Enumeration date
08/30/2016
Last updated
03/23/2026
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