Individual
VICKIE L NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30017
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702777
MEDICA HEALTH PLANS
—
01
—
110424
U-CARE
—
01
—
160001180
MEDICARE
—
01
—
2113977
FIRST HEALTH PLAN
—
01
—
254012
PREFERRED ONE
—
01
—
50A50NA
BLUE CROSS BLUE SHIELD
—
01
—
556195
ARAZ GRP/AMERICA'S PPO
—
01
—
836595400
MEDICAL ASSISTANCE
—
01
—
HP25493
HEALTH PARTNERS
—
Enumeration date
10/31/2005
Last updated
11/29/2011
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