Individual provider · Type 1 NPI

Sean Nisam

Student in an Organized Health Care Education/Training Program · Vallejo, CA

NPI number 1003341777 Active

Practice location

975 Sereno Dr
Vallejo, CA 94589

Call (707) 651-4071 Map

Mailing address

335 Carrera Dr
Mill Valley, CA 94941-3999

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1003341777

Sean Nisam's National Provider Identifier is 1003341777, issued on May 1, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vallejo, CA. The record was last updated on Feb 11, 2022.