Individual
MELISSA NICHOLE NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE ATTN: MCH, TACOMA, WA 98431-0001
(253) 968-3869
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE ATTN: MCH, TACOMA, WA 98431-1100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
27059750A
IN
164W00000X
Licensed Practical Nurse
Primary
60860936
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164W00000X
TRICARE
—
05
—
164W00000X
—
WA
Enumeration date
06/25/2018
Last updated
06/25/2018
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