Provider Demographics
NPI:1013251305
Name:WALSH, NACIA KARIM
Entity Type:Individual
Prefix:MRS
First Name:NACIA
Middle Name:KARIM
Last Name:WALSH
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 1:176 NEVIS RD
Mailing Address - Street 2:
Mailing Address - City:TIVOLI
Mailing Address - State:NY
Mailing Address - Zip Code:12583-5009
Mailing Address - Country:US
Mailing Address - Phone:845-757-2580
Mailing Address - Fax:
Practice Address - Street 1:176 NEVIS RD
Practice Address - Street 2:
Practice Address - City:TIVOLI
Practice Address - State:NY
Practice Address - Zip Code:12583-5009
Practice Address - Country:US
Practice Address - Phone:845-757-2580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula