Individual provider · Type 1 NPI

Marlin Nissen, RN

Registered Nurse · Santa Rosa, CA

NPI number 1194653949 Active

Practice location

6726 Fairfield Dr
Santa Rosa, CA 95409-6009

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X295469 (AZ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1194653949

Marlin Nissen, RN's National Provider Identifier is 1194653949, issued on May 12, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Santa Rosa, CA. The record was last updated on May 12, 2026.