Individual
MR. JOSEPH I. DISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NP-C
Contact information
Practice address
20265 EMERY RD, NORTH RANDALL, OH 44128-4122
(440) 523-9966
(216) 584-2895
Mailing address
9789 WOODMILL LN, CINCINNATI, OH 45231-3725
(513) 240-2079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.352837-
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.12749
OH
363LA2200X
Adult Health Nurse Practitioner
COA.12749-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076250
—
OH
Enumeration date
08/24/2011
Last updated
11/07/2018
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