Healthcare Provider Details

I. General information

NPI: 1609035443
Provider Name (Legal Business Name): COLETTE NASH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 06/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 OAK STREET STERLING MEDICAL ASSOCIATES
CINCINNATI OH
45219
US

IV. Provider business mailing address

411 OAK STREET STERLING MEDICAL ASSOCIATES
CINCINNATI GA
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-984-1800
  • Fax:
Mailing address:
  • Phone: 513-984-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number003433
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: