Individual
NICOLE LYNNE RYBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
5603
TN
363A00000X
Physician Assistant
019390
NY
363A00000X
Physician Assistant
Primary
5603
TN
363AS0400X
Surgical Physician Assistant
019390
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q094554
—
TN
Enumeration date
12/04/2015
Last updated
12/15/2025
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