| Doctor Name: | SHELLY NASH |
| NPI Number: | 1104892744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | AP04512 |
| Business Practice Address: | 3215 E. Milton Avenue Youngsville, LA - 705925738 |
| Business Phone Number: | 3379627379 |
| Business Fax Number: | |
| Mailing Address: | 309 Marie Antoinette St, LAFAYETTE |
| State: | LA |
| Postal Code: | 705066237 |
| Phone Number: | 3379627379 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP04512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |