Provider Demographics
NPI:1346531308
Name:NASH, COURTNEY ELMS (APN)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ELMS
Last Name:NASH
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-6133
Mailing Address - Country:US
Mailing Address - Phone:501-327-2995
Mailing Address - Fax:501-327-2583
Practice Address - Street 1:2605 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-6133
Practice Address - Country:US
Practice Address - Phone:501-327-2995
Practice Address - Fax:501-327-2583
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR77499163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice