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Individual

KATIE NISSLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
500 UNIVERSITY DRIVE, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
500 UNIVERSITY DRIVE, CA410, HERSHEY, PA 17033-2360
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
SP024730
PA

Other

Enumeration date
02/16/2022
Last updated
02/16/2022
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