Individual provider · Type 1 NPI

Dominic Anthony Nichilo

Student in an Organized Health Care Education/Training Program · Fairfax, VA

NPI number 1699361196 Active

Practice location

9904 Fairfax Sq Apt 164
Fairfax, VA 22031-4204

Call (571) 246-2587 Map

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 1699361196

Dominic Anthony Nichilo's National Provider Identifier is 1699361196, issued on Dec 18, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfax, VA. The record was last updated on Dec 18, 2020.