Provider Demographics
NPI:1437712908
Name:NASH, YOLANDA RAE JR (CNA)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:RAE
Last Name:NASH
Suffix:JR
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 LINN ST APT 1415
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45214-2571
Mailing Address - Country:US
Mailing Address - Phone:513-510-7364
Mailing Address - Fax:
Practice Address - Street 1:1621 LINN ST APT 1415
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45214-2571
Practice Address - Country:US
Practice Address - Phone:513-510-7364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-19
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0247968376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0247968Medicaid