Provider Demographics
NPI:1336194554
Name:NASH, TONYA HAYES (MSPAS, PA)
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:HAYES
Last Name:NASH
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Gender:F
Credentials:MSPAS, PA
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Mailing Address - Street 1:3493 VETERANS DR N
Mailing Address - Street 2:SUITE C
Mailing Address - City:HUNTINGDON
Mailing Address - State:TN
Mailing Address - Zip Code:38344-6227
Mailing Address - Country:US
Mailing Address - Phone:731-986-2933
Mailing Address - Fax:731-986-2938
Practice Address - Street 1:14201 HIGHWAY 79 N
Practice Address - Street 2:UNIT 4
Practice Address - City:BUCHANAN
Practice Address - State:TN
Practice Address - Zip Code:38222-4183
Practice Address - Country:US
Practice Address - Phone:731-986-2933
Practice Address - Fax:731-986-2938
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2011-07-26
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Provider Licenses
StateLicense IDTaxonomies
TNPA0000001388363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3665170Medicaid
TN3665170Medicaid