Individual
DIANA LEE NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
106 VENUS DR, LESLIE, AR 72645-7110
(870) 221-1080
Mailing address
106 VENUS DR, LESLIE, AR 72645-7110
(870) 221-1080
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
022012
AR
176B00000X
Midwife
99270
TX
Other
Enumeration date
01/23/2008
Last updated
04/24/2016
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