Individual
RYAN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0004
(615) 364-5101
Mailing address
112 DEERPOINT LN, HENDERSONVILLE, TN 37075-3987
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
182845
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP140572
TX
Other
Enumeration date
10/06/2018
Last updated
02/27/2019
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