Individual
MS. DENYSE SIHAM NIZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5429 PENNY LN, MADISON, WI 53718-4418
(720) 226-4710
Mailing address
5429 PENNY LN, MADISON, WI 53718-4418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5596
AZ
363A00000X
Physician Assistant
PA.0003941
CO
363AM0700X
Medical Physician Assistant
Primary
100961-875
WI
363AS0400X
Surgical Physician Assistant
5596
AZ
Other
Enumeration date
12/10/2013
Last updated
04/15/2025
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