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NPI Code Detail

MEDICARE: TERRILYN NASH

MEDICARE: TERRILYN NASH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorLA

General Provider Information

NPI Number : 1750741492
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRILYN NASH
Provider Business Mailing Address
First Line : 710 VERSAILLES BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-2351
Country : US
Telephone Number : 318-449-4474
Fax Number :
Provider Business Practice Location Address
First Line : 710 VERSAILLES BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-2351
Country : US
Telephone Number : 318-449-4474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2016
Last Update Date : 05/18/2026

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Directions to “ TERRILYN NASH ” Practice Location

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