Individual
MICHAEL J RADYKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3130
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
172846
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15415
TN
Other
Enumeration date
10/23/2009
Last updated
03/31/2022
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