Individual
DAMIKA DENISE NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1510 CHESTER PIKE STE 301, EDDYSTONE, PA 19022-1471
(610) 497-7399
(610) 497-7472
Mailing address
1510 CHESTER PIKE STE 301, EDDYSTONE, PA 19022-1471
(610) 497-7399
(610) 497-7472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN566754
PA
163WH0200X
Home Health Registered Nurse
RN566754
PA
163WM0102X
Maternal Newborn Registered Nurse
RN566754
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023259390001
—
PA
Enumeration date
04/28/2009
Last updated
06/15/2022
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