Doctor Name: | VUNKISHA NASH |
NPI Number: | 1184978421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | A003756 |
Business Practice Address: | 579 E Beouff St Eudora, AR - 716403090 |
Business Phone Number: | 8703552512 |
Business Fax Number: | |
Mailing Address: | Po Box 509, DERMOTT |
State: | AR |
Postal Code: | 716380509 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/08/2012 |
NPI Last Update Date: | 05/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A003756 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |