Provider Demographics
NPI:1659774909
Name:CASH, NICOLE EILEEN (FNP-C)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:EILEEN
Last Name:CASH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:PURSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:732 FLOWING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2665
Mailing Address - Country:US
Mailing Address - Phone:928-234-3404
Mailing Address - Fax:
Practice Address - Street 1:5653 S HIGHWAY 95 STE A
Practice Address - Street 2:
Practice Address - City:FORT MOHAVE
Practice Address - State:AZ
Practice Address - Zip Code:86426
Practice Address - Country:US
Practice Address - Phone:928-768-2558
Practice Address - Fax:928-788-2039
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001828363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily