Individual provider · Type 1 NPI

Ross Ellis Nisly

Registered Nurse · San Bernardino, CA

NPI number 1982935763 Active

Practice location

2080 S E St, #100
San Bernardino, CA 92408-2706

Call (909) 388-9191 Map

Mailing address

34569 Newell St
Yucaipa, CA 92399-6864

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X550198 (CA)

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 1982935763

Ross Ellis Nisly's National Provider Identifier is 1982935763, issued on Jan 19, 2010. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Bernardino, CA. The record was last updated on Jan 19, 2010.