Basic Information
Provider Information
NPI: 1316492945
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NASH
FirstName: ADRIANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 512 VICTORIA LN STE 2
Address2:  
City: HARLINGEN
State: TX
PostalCode: 785503227
CountryCode: US
TelephoneNumber: 9563654400
FaxNumber: 9563654111
Practice Location
Address1: 305 LORENALY DR
Address2:  
City: BROWNSVILLE
State: TX
PostalCode: 785264333
CountryCode: US
TelephoneNumber: 9563654400
FaxNumber: 9563654111
Other Information
ProviderEnumerationDate: 08/24/2016
LastUpdateDate: 09/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP131548TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LP0200XAP131548TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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