Individual
BOBBIE NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1790
(505) 722-1487
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1790
(505) 722-1487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
453089
CA
163W00000X
Registered Nurse
Primary
R583391
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020529
—
AZ
Enumeration date
07/26/2010
Last updated
02/14/2012
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