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Individual

MATTHEW P RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
9430 PARK WEST BLVD STE 130, KNOXVILLE, TN 37923-4205
(865) 690-4861
(865) 560-8525
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 243-8153

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
220175
TN
363L00000X
Nurse Practitioner
Primary
29914
TN

Other

Enumeration date
07/14/2020
Last updated
10/13/2023
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