Provider Demographics
NPI:1124673926
Name:NASH, TOWANDA ASHLEY
Entity type:Individual
Prefix:
First Name:TOWANDA
Middle Name:ASHLEY
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 1:2100 FENDALL ST SE UNIT 9
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4837
Mailing Address - Country:US
Mailing Address - Phone:202-746-1136
Mailing Address - Fax:
Practice Address - Street 1:1134 MORSE ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3806
Practice Address - Country:US
Practice Address - Phone:202-388-3582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDN-200-799-072-5233747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant