Individual
MARY ELAINE NYSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-7001
(352) 273-6438
Mailing address
7002 NW 51ST TER, GAINESVILLE, FL 32653-7001
(386) 590-6276
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
144451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118297400
—
FL
Enumeration date
04/08/2021
Last updated
09/07/2023
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