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NPI Code Detail

MEDICARE: RYAN ERNEST PMHNP-BC

MEDICARE: RYAN ERNEST PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024182462VA
22084P0800XPsychiatry Physician0024182462VA

General Provider Information

NPI Number : 1235706250
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN ERNEST PMHNP-BC
Provider Business Mailing Address
First Line : 4801 COX RD STE 205
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-6803
Country : US
Telephone Number : 804-796-0790
Fax Number : 804-796-0799
Provider Business Practice Location Address
First Line : 4801 COX RD STE 205
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-6803
Country : US
Telephone Number : 804-796-0790
Fax Number : 804-796-0799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2021
Last Update Date : 06/16/2026

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Directions to “ RYAN ERNEST PMHNP-BC” Practice Location

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