Provider Demographics
NPI:1679573463
Name:NASH, DAVID ALBERT (PA-C)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ALBERT
Last Name:NASH
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:6407 OLD COSTA LN
Mailing Address - Street 2:
Mailing Address - City:SCHOFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54476-4357
Mailing Address - Country:US
Mailing Address - Phone:715-241-9209
Mailing Address - Fax:
Practice Address - Street 1:425 PINE RIDGE BLVD
Practice Address - Street 2:STE 209
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4123
Practice Address - Country:US
Practice Address - Phone:715-847-0400
Practice Address - Fax:715-847-0401
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2023-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI1183-23363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant