Provider Demographics
NPI:1457068066
Name:NASH, DEBORAH YOLANDA
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:YOLANDA
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 1:1508 NW VIVION RD STE 313
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-4557
Mailing Address - Country:US
Mailing Address - Phone:816-205-8417
Mailing Address - Fax:816-526-0818
Practice Address - Street 1:1508 NW VIVION RD STE 313
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4557
Practice Address - Country:US
Practice Address - Phone:816-205-8417
Practice Address - Fax:816-526-0818
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide