Provider Demographics
NPI:1427471424
Name:NASH, LYNNE (FNP-BC)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:NASH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 13TH ST
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-5223
Mailing Address - Country:US
Mailing Address - Phone:406-265-4541
Mailing Address - Fax:406-265-2148
Practice Address - Street 1:110 13TH ST
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-5223
Practice Address - Country:US
Practice Address - Phone:406-265-4541
Practice Address - Fax:406-265-2148
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-27
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0990409-NP363LF0000X
MTNUR-RN-LIC-72697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily