Provider Demographics
NPI:1851140487
Name:NASH, RONNIE DONNIE (DO)
Entity type:Individual
Prefix:
First Name:RONNIE
Middle Name:DONNIE
Last Name:NASH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 HOLBROOK ST APT 102
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-1826
Mailing Address - Country:US
Mailing Address - Phone:734-961-5185
Mailing Address - Fax:
Practice Address - Street 1:329 HOLBROOK ST APT 102
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-1826
Practice Address - Country:US
Practice Address - Phone:734-961-5185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker