Healthcare Provider Details

I. General information

NPI: 1730501677
Provider Name (Legal Business Name): NASHVILLE VASCULAR AND VEIN INSTITUTE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2014
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 25TH AVE N STE 100
NASHVILLE TN
37203-1515
US

IV. Provider business mailing address

310 25TH AVE N STE 100
NASHVILLE TN
37203-1515
US

V. Phone/Fax

Practice location:
  • Phone: 615-321-6100
  • Fax: 877-663-4069
Mailing address:
  • Phone: 615-321-6100
  • Fax: 877-663-4069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD38260
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PATRICK C. RYAN
Title or Position: OWNER, MEDICAL DOCTOR
Credential: MD
Phone: 615-321-6100