Individual provider · Type 1 NPI
Todd Nisley, P.A.
Surgical Physician Assistant · Bloomington, IN
NPI number
1245296508
Active
Practice location
583 S Clarizz Blvd
Bloomington, IN 47401-5515
Other practice locations
- 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 · (812) 355-2300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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- Jayne Crescimbeni-Pierce, C-NPNurse Practitioner Bloomington, IN NPI 1619958782
Other surgical physician assistant providers in Bloomington
About NPI 1245296508
Todd Nisley, P.A.'s National Provider Identifier is 1245296508, issued on Apr 25, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bloomington, IN. The record was last updated on Dec 18, 2020.