Provider Demographics
NPI:1457791956
Name:FERRE, ELISE MARIE NASH (PA-C)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:MARIE NASH
Last Name:FERRE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6161 EDSALL RD
Mailing Address - Street 2:APT 203
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-4166
Mailing Address - Country:US
Mailing Address - Phone:603-892-2157
Mailing Address - Fax:
Practice Address - Street 1:6161 EDSALL RD
Practice Address - Street 2:APT 203
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-4166
Practice Address - Country:US
Practice Address - Phone:603-892-2157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant