Provider Demographics
NPI:1316491368
Name:RATHBONE, RYANN (APRN PMHNP)
Entity type:Individual
Prefix:
First Name:RYANN
Middle Name:
Last Name:RATHBONE
Suffix:
Gender:F
Credentials:APRN PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 FINLEY DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-5919
Mailing Address - Country:US
Mailing Address - Phone:512-534-1145
Mailing Address - Fax:
Practice Address - Street 1:1600 W 38TH ST STE 318
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6406
Practice Address - Country:US
Practice Address - Phone:512-203-3588
Practice Address - Fax:512-957-0156
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131368363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health