Individual
KRISTEN L NUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 PLACE ST, BAKER CITY, OR 97814-3749
(317) 809-6540
Mailing address
2915 PLACE ST, BAKER CITY, OR 97814-3749
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
5461770
ID
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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