Individual
ANGELA NICOLE NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
700 E MOREHEAD ST, STE 300, CHARLOTTE, NC 28202-2788
(704) 334-7800
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(980) 208-1704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01932
NC
363AM0700X
Medical Physician Assistant
0010-01932
NC
363AM0700X
Medical Physician Assistant
PA 1591
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0912PA
—
SC
Enumeration date
11/03/2009
Last updated
04/11/2021
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