Provider Demographics
NPI:1790336303
Name:NASH, LYNDA KAYE
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:KAYE
Last Name:NASH
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:P.O. BOX 571445
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89157
Mailing Address - Country:US
Mailing Address - Phone:702-827-8080
Mailing Address - Fax:702-648-2109
Practice Address - Street 1:3634 SENECA HIGHLAND
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-0494
Practice Address - Country:US
Practice Address - Phone:702-827-8080
Practice Address - Fax:702-648-2109
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant