Provider Demographics
NPI:1710381983
Name:NASS, NEVINE
Entity Type:Individual
Prefix:MS
First Name:NEVINE
Middle Name:
Last Name:NASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 NW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-3034
Mailing Address - Country:US
Mailing Address - Phone:561-212-2846
Mailing Address - Fax:561-908-2727
Practice Address - Street 1:302 NW 16TH ST
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3034
Practice Address - Country:US
Practice Address - Phone:561-212-2846
Practice Address - Fax:561-908-2727
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator