John Kirby Nash in Edina - Clinical

John Kirby Nash - NPI 1790842821

John Kirby Nash is a Clinical in Edina, Minnesota. John Kirby Nash practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Kirby Nash is 1790842821. The last update date is 2007-07-09.

John Kirby Nash's current location address is 3300 Edinborough Way, Edina, Minnesota. You can contact this provider via phone number 9528440619 and fax number 9528440628. The mailing address for John Kirby Nash is 3300 Edinborough Way, Edina, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name John Kirby Nash
Address 3300 Edinborough Way, Edina, Minnesota
Phone Number 9528440619
Fax Number 9528440628
Sole Proprietor N
Credentials PH.D, L.P.

NPI Number Detail

NPI Number 1790842821
Provider Enumeration Date 2007-01-01
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3300 Edinborough Way
City Edina
State Minnesota (MN)
Post Code 554355923
Phone Number 9528440619
Fax Number 9528440628

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No LP0181
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4K592BE MN BCBSMN GROUP #
4K592NA MN BCBSMN INDIVIDUAL #
74381 MN VALUE OPTIONS #

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FAQs about John Kirby Nash

What is the John Kirby Nash's 1790842821?

The John Kirby Nash's NPI (National Provider Identifier) Number is 1790842821. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where John Kirby Nash is located?

The John Kirby Nash is situated at the following address: 3300 Edinborough Way, Edina, MN, 554355923.

What is John Kirby Nash's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Kirby Nash's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date was the 1790842821 assigned to John Kirby Nash?

The John Kirby Nash was issued its 1790842821 on 2007-01-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the John Kirby Nash's details last updated?

The information pertaining to the John Kirby Nash, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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