Individual provider · Type 1 NPI

Olivia Georgianna Nillissen, DDS

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1003595166 Active

Practice location

8210 Floyd Curl Drive, Msc 8103
San Antonio, TX 78229-3923

Call (210) 450-3273 Map

Fax (210) 450-2223

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XETN1063 (TX)

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 1003595166

Olivia Georgianna Nillissen, DDS's National Provider Identifier is 1003595166, issued on Jul 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 11, 2023.