Individual
NISI ZOVISTOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
900 E FORT AVE APT 745, BALTIMORE, MD 21230-5509
(240) 437-7609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C08370
MD
363A00000X
Physician Assistant
C5-0011690
DE
Other
Enumeration date
02/10/2022
Last updated
02/29/2024
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