Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 079972 | MO |
N | 363LN0000X | Nurse Practitioner - Neonatal | 4704362095 | MI |
N | 363LN0000X | Nurse Practitioner - Neonatal | 9397573 | FL |
NPI | 1497800197 |
---|---|
Provider Name | Ms. Patricia Lynn Nash |
First Address | Saint Louis, MO 63128-2106 |
Second Address | Saint Louis, MO 63128-2106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 15/07/2020 |