Healthcare Provider Details

I. General information

NPI: 1326158791
Provider Name (Legal Business Name): ANDREW NASH D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16681 S DUPONT HWY
HARRINGTON DE
19952-3191
US

IV. Provider business mailing address

640 S STATE ST MAIL CODE 3055
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-398-8704
  • Fax: 302-398-8818
Mailing address:
  • Phone: 302-480-1688
  • Fax: 302-480-9807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC2-0006084
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: