Provider Demographics
NPI:1760272462
Name:NASH, LISA JOANN
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:JOANN
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 1:1842 WHITTIER ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-4242
Mailing Address - Country:US
Mailing Address - Phone:848-467-1109
Mailing Address - Fax:
Practice Address - Street 1:1842 WHITTIER ST
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-4242
Practice Address - Country:US
Practice Address - Phone:848-467-1109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach