Provider Demographics
NPI:1356890982
Name:RYAN, SARAH ELIZABETH (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:RYAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:132 MAPLE ROW BLVD STE 550
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4786
Mailing Address - Country:US
Mailing Address - Phone:615-822-3000
Mailing Address - Fax:615-822-0073
Practice Address - Street 1:132 MAPLE ROW BLVD STE 550
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-4786
Practice Address - Country:US
Practice Address - Phone:615-822-3000
Practice Address - Fax:615-822-0073
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008920363L00000X
TN21894363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner