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Organization

MIRMIR PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN KENNAN APRN (OWNER/APRN)
(202) 734-7926
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
03/02/2022
Last updated
03/02/2022
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