Provider Demographics
NPI:1861829970
Name:NASH, CINDY L (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:NASH
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 JONQUIL LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-5122
Mailing Address - Country:US
Mailing Address - Phone:423-298-2169
Mailing Address - Fax:
Practice Address - Street 1:5625 JONQUIL LN
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-5122
Practice Address - Country:US
Practice Address - Phone:423-298-2169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000099218163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant