Provider Demographics
NPI:1306510938
Name:NASH-FLEMING, AKILAH A
Entity type:Individual
Prefix:
First Name:AKILAH
Middle Name:A
Last Name:NASH-FLEMING
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 1:10721 W CAPITOL DR STE 102
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53222-1276
Mailing Address - Country:US
Mailing Address - Phone:414-458-4055
Mailing Address - Fax:
Practice Address - Street 1:10721 W CAPITOL DR STE 102
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53222-1276
Practice Address - Country:US
Practice Address - Phone:414-458-4055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator