Healthcare Provider Details

I. General information

NPI: 1215483466
Provider Name (Legal Business Name): RYAN ESCUE DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 02/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4221 HARDING PIKE
NASHVILLE TN
37075
US

IV. Provider business mailing address

2000 MURPHY AVE
NASHVILLE TN
37203-2010
US

V. Phone/Fax

Practice location:
  • Phone: 615-222-1460
  • Fax:
Mailing address:
  • Phone: 615-284-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number182127
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number21620
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: