Individual
MS. KELLEY ELIZABETH NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
1641 3RD ST FL 2, RENSSELAER, NY 12144-1539
(518) 463-8869
(518) 463-8733
Mailing address
101 NORTONVILLE RD, VALLEY FALLS, NY 12185
(518) 805-7099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
517355
NY
363LA2100X
Acute Care Nurse Practitioner
430505
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405689
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03635018
—
NY
Enumeration date
07/09/2010
Last updated
08/02/2024
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