Michael D Nissen is a Family in Boston, Massachusetts. Michael D Nissen practices all healthcare services and medical treatments related to Family. The NPI Number for Michael D Nissen is 1417077827. The last update date is 2014-10-22.
Michael D Nissen's current location address is Po Box 843013, Boston, Massachusetts. You can contact this provider via phone number 9109042350 and fax number 9109041037. The mailing address for Michael D Nissen is Po Box 843013, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael D Nissen |
|---|---|
| Address | Po Box 843013, Boston, Massachusetts |
| Phone Number | 9109042350 |
| Fax Number | 9109041037 |
| Sole Proprietor | N |
| Credentials | N.P.-C |
NPI Number Detail
| NPI Number | 1417077827 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2014-10-22 |
Provider Mailing Address Detail
| Address | Po Box 843013 |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 22843013 |
| Phone Number | 9109042350 |
| Fax Number | 9109041037 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 1061217 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7004922 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Michael D Nissen by the Centers for Medicare & Medicaid Services?
The Michael D Nissen has been issued the NPI (National Provider Identifier) 1417077827. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michael D Nissen is located?
The Michael D Nissen is situated at the following address: Po Box 843013, Boston, MA, 22843013.
What is the Michael D Nissen's area of specialization and corresponding taxonomy classification?
The Michael D Nissen's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Michael D Nissen receive its 1417077827 assignment from the Centers for Medicare & Medicaid Services?
The Michael D Nissen was assigned its 1417077827 by the Centers for Medicare & Medicaid Services on 2007-03-30.
When was the Michael D Nissen's information last updated?
The Michael D Nissen's information was last updated on 2014-10-22.