Healthcare Provider Details

I. General information

NPI: 1033206966
Provider Name (Legal Business Name): JAMES D NASH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 N 5TH ST
DENVER PA
17517-1418
US

IV. Provider business mailing address

560 N 5TH ST P O BOX 345
DENVER PA
17517-1418
US

V. Phone/Fax

Practice location:
  • Phone: 717-336-2871
  • Fax: 717-733-0634
Mailing address:
  • Phone: 717-336-2871
  • Fax: 717-733-0634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD032269E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: