Individual
MS. KELLY RYAN HOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
6641 MADISON ST STE 3, NEW PORT RICHEY, FL 34652-1966
(727) 203-4417
(727) 203-4427
Mailing address
19907 WYNDMILL CIR, ODESSA, FL 33556-1731
(813) 728-4414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11020555
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11020555
FL
Other
Enumeration date
10/03/2022
Last updated
01/21/2026
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