Provider Demographics
NPI:1700687779
Name:NASH, CIERRIA ESTAVONNE (LVN)
Entity type:Individual
Prefix:
First Name:CIERRIA ESTAVONNE
Middle Name:
Last Name:NASH
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8987 US HIGHWAY 259
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-0826
Mailing Address - Country:US
Mailing Address - Phone:832-797-9028
Mailing Address - Fax:
Practice Address - Street 1:8987 US HIGHWAY 259
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-0826
Practice Address - Country:US
Practice Address - Phone:832-797-9028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant