Individual
SHANNON NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
271379
MA
163W00000X
Registered Nurse
Primary
4704233568
MI
163W00000X
Registered Nurse
65599
CA
163W00000X
Registered Nurse
75320
WV
163W00000X
Registered Nurse
N32498
ID
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
Update your record
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