Individual
ERIC NYSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
W198N16881 RIDGEWAY DR APT 8, JACKSON, WI 53037-9692
(920) 286-0943
Mailing address
W198N16881 RIDGEWAY DR APT 8, JACKSON, WI 53037-9692
(920) 286-0943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
223056-30
WI
Other
Enumeration date
12/19/2015
Last updated
12/19/2015
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