Provider Demographics
NPI:1578512091
Name:NASH, MARGARET R (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:R
Last Name:NASH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7423 GRANBY ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-3406
Mailing Address - Country:US
Mailing Address - Phone:757-451-5000
Mailing Address - Fax:757-451-5000
Practice Address - Street 1:7423 GRANBY ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-3406
Practice Address - Country:US
Practice Address - Phone:757-451-5000
Practice Address - Fax:757-451-5000
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054659208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006726933Medicaid
VA6000010314OtherCIGNA
VA875990OtherMAMSI
VA13298OtherOPTIMA
VA324732OtherBCBS
VA0101054659OtherSTATE ID
VAG70008Medicare UPIN