Provider Demographics
NPI:1194906131
Name:NASH, PATRICIA (MSN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:NASH
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 S PIERPONT
Mailing Address - Street 2:1013
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4643
Mailing Address - Country:US
Mailing Address - Phone:480-247-8938
Mailing Address - Fax:
Practice Address - Street 1:1941 S PIERPONT
Practice Address - Street 2:1013
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4643
Practice Address - Country:US
Practice Address - Phone:480-247-8938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN135514163WC1500X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WP0200XNursing Service ProvidersRegistered NursePediatrics