Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan Mabe Bolt, PMHNP-BC, FNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639679822

Mr. Ryan Mabe Bolt, PMHNP-BC, FNP-C is a Psychiatric/Mental Health Nurse Practitioner in San Diego, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

10620 Treena St Ste 230
San Diego, CA 92131-1140
Phone: (858) 609-9763
Fax: (504) 290-1145
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Additional practice locations (1)

  • 7830 Clairemont Mesa Blvd Ste 100, San Diego, CA 92111-1632 — (858) 268-1111

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95008584 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95008584 (CA)

Record details

NPI number1639679822
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC , FNP-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2018
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023

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