Provider Demographics
NPI:1518618008
Name:BYRNES, NATHAN (NP-C)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:BYRNES
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 DIVISION ST APT 206
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5769
Mailing Address - Country:US
Mailing Address - Phone:501-259-4082
Mailing Address - Fax:
Practice Address - Street 1:1201 LIBERTY PIKE STE 209
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5646
Practice Address - Country:US
Practice Address - Phone:615-288-4777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-16
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30867363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner