Individual provider · Type 1 NPI
Cullen Reed Nisson, MD
Adult Medicine Physician · Brandon, FL
NPI number
1609452341
Active
Practice location
119 Oakfield Dr
Brandon, FL 33511-5779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician | 208D00000X | ME163579 (FL) |
| Adult Medicine Physician Primary | 207QA0505X | ME163579 (FL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1609452341
Cullen Reed Nisson, MD's National Provider Identifier is 1609452341, issued on Mar 23, 2021. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Brandon, FL. The record was last updated on Mar 11, 2024.