Provider Demographics
NPI:1205311933
Name:MOTON, NASHAYLA RENAE
Entity type:Individual
Prefix:
First Name:NASHAYLA
Middle Name:RENAE
Last Name:MOTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12771 MEYERS RD APT 2
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-3886
Mailing Address - Country:US
Mailing Address - Phone:313-733-7960
Mailing Address - Fax:
Practice Address - Street 1:12771 MEYERS RD APT 2
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-3886
Practice Address - Country:US
Practice Address - Phone:313-733-7960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No156F00000XEye and Vision Services ProvidersTechnician/Technologist