Tanner J. Nissly in Minneapolis - Student In An Organized Health Care Education/training Program

Tanner J. Nissly - NPI 1518131093

Tanner J. Nissly is a Student In An Organized Health Care Education/training Program in Minneapolis, Minnesota. Tanner J. Nissly practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Tanner J. Nissly is 1518131093. The last update date is 2013-02-15.

Tanner J. Nissly's current location address is 1020 W Broadway Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6123028209. The mailing address for Tanner J. Nissly is 1020 W Broadway Ave, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Tanner J. Nissly
Address 1020 W Broadway Ave, Minneapolis, Minnesota
Phone Number 6123028209
Fax Number
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1518131093
Provider Enumeration Date 2008-04-16
Last Updated Date 2013-02-15

Provider Mailing Address Detail

Address 1020 W Broadway Ave
City Minneapolis
State Minnesota (MN)
Post Code 554112504
Phone Number 6123028209
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs about Tanner J. Nissly

What is the unique 10-digit identifier code issued to Tanner J. Nissly by the Centers for Medicare & Medicaid Services?

The Tanner J. Nissly has been assigned the NPI (National Provider Identifier) 1518131093 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Tanner J. Nissly is physically located?

The Tanner J. Nissly is situated at the following address: 1020 W Broadway Ave, Minneapolis, MN 554112504.

What is Tanner J. Nissly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tanner J. Nissly is Student In An Organized Health Care Education/training Program, and the taxonomy classification code that categorizes this area of expertise is 390200000X.

On what date did Tanner J. Nissly receive its 1518131093 assignment from the Centers for Medicare & Medicaid Services?

The Tanner J. Nissly was assigned its 1518131093 on 2008-04-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Tanner J. Nissly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tanner J. Nissly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-15.

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