Individual
MR. RICKY DALE LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000084386
TN
367500000X
Certified Registered Nurse Anesthetist
045081
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000010706
TN
Other
Enumeration date
08/25/2006
Last updated
06/25/2012
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