Provider Demographics
NPI:1033256748
Name:NASH, VIRGINIA G (ND)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:G
Last Name:NASH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:GINGER
Other - Middle Name:
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:21 ANDERSON ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-2501
Mailing Address - Country:US
Mailing Address - Phone:203-777-7911
Mailing Address - Fax:203-777-7918
Practice Address - Street 1:21 ANDERSON ST
Practice Address - Street 2:FLOOR 2
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-2501
Practice Address - Country:US
Practice Address - Phone:203-777-7911
Practice Address - Fax:203-777-7918
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000215175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath