Most Relevant Information
Provider Data
| NPI Number: | 1003352469 |
| Provider Name: | TAYANNA NASH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | K999107772 |
Most Important Dates
| Enumeration Date: | 01/10/2017 |
| Last Updated: | 01/10/2017 |
Provider Practice Location
1538 S INDIANA AVE
OKLAHOMA CITY
OK
731086811
Practice Location Phone/Fax
| Phone: | 4053002230 |
| Fax: |
Provider Mailing Location
1538 S INDIANA AVE
OKLAHOMA CITY
OK
731086811
Provider Mailing Phone/Fax
| Phone: | 4053002230 |
| Fax: |