Provider Demographics
NPI:1902635402
Name:NASH, ANGELA (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:NASH
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3470 CORTINA DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1814
Mailing Address - Country:US
Mailing Address - Phone:719-321-0831
Mailing Address - Fax:
Practice Address - Street 1:3470 CORTINA DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1814
Practice Address - Country:US
Practice Address - Phone:719-321-0831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.1000023-NP2084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine