Individual
KRISTINE NISSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
EINSTEIN UROLOGY ASSOCIATES, 1200 WEST TABOR ROAD, 3RD FLOOR, PHILADELPHIA, PA 19141
(215) 456-4600
Mailing address
1031 SURREY RD, PHILADELPHIA, PA 19115-4525
(215) 989-8440
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN645735
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP019518
PA
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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