MR. Ryan Mabe Bolt, PMHNP-BC, FNP-C is a psychiatric/mental health nurse practitioner in San Diego, CA. MR. Ryan Mabe Bolt, PMHNP-BC, FNP-C NPI is 1639679822. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10620 TREENA ST STE 230
SAN DIEGO, CA
ZIP 92131-140
Phone: (858) 609-9763
Fax: (504) 290-1145
The NPI 1639679822 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/14/2018 and was last updated on 11/2/2023.