Individual
TINA MARIE NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 E GARDEN ST, AUBURN, NY 13021-3602
(315) 255-3390
(315) 255-2390
Mailing address
14 E GARDEN ST, AUBURN, NY 13021-3602
(315) 255-3390
(315) 255-2390
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
509441
NY
251E00000X
Home Health Agency
Primary
1501L-001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03024164
—
NY
Enumeration date
02/02/2010
Last updated
02/02/2010
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