Individual
NICHOLAS JOHN DIASSELLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6521 GENERAL HAIG ST, NEW ORLEANS, LA 70124-3913
(504) 442-2123
Mailing address
6521 GENERAL HAIG ST, NEW ORLEANS, LA 70124-3913
(504) 442-2123
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230640
LA
Other
Enumeration date
08/07/2020
Last updated
06/12/2023
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