Individual
RICHARD O NENSTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1040 GULF BREEZE PKWY STE 200, GULF BREEZE, FL 32561-7808
(850) 916-3700
Mailing address
6701 AIRPORT BLVD, SUITE D146, MOBILE, AL 36608
(251) 633-5155
(251) 633-5125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-143
AL
363AM0700X
Medical Physician Assistant
PA9115249
FL
363AS0400X
Surgical Physician Assistant
PA-143
AL
363AS0400X
Surgical Physician Assistant
Primary
PA9115249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009942453
—
AL
01
—
51540426
BC
AL
Enumeration date
06/01/2005
Last updated
11/13/2023
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