Provider Demographics
NPI:1164890372
Name:NASH, RACHEL (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:NASH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3244 S MILL AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-3688
Mailing Address - Country:US
Mailing Address - Phone:480-712-9529
Mailing Address - Fax:480-809-6430
Practice Address - Street 1:3244 S MILL AVE STE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-3688
Practice Address - Country:US
Practice Address - Phone:480-712-9529
Practice Address - Fax:480-809-6430
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPA.0004487363A00000X
AZ9543363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant