Provider Demographics
NPI:1134923915
Name:NASH, DANIEL LADELL
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:LADELL
Last Name:NASH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6712 CROSSBROOK LN
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126-4942
Mailing Address - Country:US
Mailing Address - Phone:256-490-2755
Mailing Address - Fax:
Practice Address - Street 1:1713 6TH AVE N
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-2014
Practice Address - Country:US
Practice Address - Phone:205-934-7615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-122877163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse