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NPI Code Detail

MEDICARE: CHASE NASH

MEDICARE: CHASE 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
1101YM0800XMental Health Counselor88003089AIN

General Provider Information

NPI Number : 1811619976
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASE NASH
Provider Business Mailing Address
First Line : 1400 AIRPORT NORTH OFFICE PARK STE D
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-6723
Country : US
Telephone Number : 260-702-9141
Fax Number :
Provider Business Practice Location Address
First Line : 1400 AIRPORT NORTH OFFICE PARK STE D
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-6723
Country : US
Telephone Number : 260-702-9141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2022
Last Update Date : 12/14/2025

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Directions to “ CHASE NASH ” Practice Location

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