Provider Demographics
NPI:1467330100
Name:NASH, ZACHARY THOMAS (CAA)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:THOMAS
Last Name:NASH
Suffix:
Gender:M
Credentials:CAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-2909
Mailing Address - Country:US
Mailing Address - Phone:850-650-7606
Mailing Address - Fax:
Practice Address - Street 1:1225 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-2909
Practice Address - Country:US
Practice Address - Phone:850-650-7606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant