Individual
MR. DERRICK SHAWN NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7868 OLD LEMAY FERRY RD, BARNHART, MO 63012-1728
(314) 363-7960
(636) 942-1021
Mailing address
7868 OLD LEMAY FERRY RD, BARNHART, MO 63012-1728
(314) 363-7960
(636) 942-1021
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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