David Dean Nisley in Modesto - Surgical

David Dean Nisley - NPI 1710044888

David Dean Nisley is a Surgical in Modesto, California. David Dean Nisley practices all healthcare services and medical treatments related to Surgical. The NPI Number for David Dean Nisley is 1710044888. The last update date is 2016-03-28.

David Dean Nisley's current location address is 1441 Florida Ave, Modesto, California. You can contact this provider via phone number 2095781211. The mailing address for David Dean Nisley is 1441 Florida Ave, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name David Dean Nisley
Address 1441 Florida Ave, Modesto, California
Phone Number 2095781211
Fax Number
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1710044888
Provider Enumeration Date 2007-01-02
Last Updated Date 2016-03-28

Provider Mailing Address Detail

Address 1441 Florida Ave
City Modesto
State California (CA)
Post Code 953504405
Phone Number 2095781211
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA 12965
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about David Dean Nisley

What is the unique identification code assigned to David Dean Nisley by the Centers for Medicare & Medicaid Services?

The David Dean Nisley has been issued the NPI (National Provider Identifier) 1710044888. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where David Dean Nisley is geographically located?

The David Dean Nisley is physically situated at the following location: 1441 Florida Ave, Modesto, CA, 953504405.

What is David Dean Nisley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for David Dean Nisley is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710044888 to David Dean Nisley?

The Centers for Medicare & Medicaid Services originally issued the 1710044888 to David Dean Nisley on 2007-01-02.

When was the information related to David Dean Nisley most recently updated or refreshed?

The details pertaining to the David Dean Nisley, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-03-28.

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