Provider Demographics
NPI:1194478701
Name:CONEY, NASHANA
Entity type:Individual
Prefix:MS
First Name:NASHANA
Middle Name:
Last Name:CONEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30551 CONCORD CT APT D
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-7330
Mailing Address - Country:US
Mailing Address - Phone:313-407-9843
Mailing Address - Fax:
Practice Address - Street 1:30551 CONCORD CT APT D
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-7330
Practice Address - Country:US
Practice Address - Phone:313-407-9843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care