Individual
PAUL NISSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
Mailing address
1504 SANTA ROSA RD, SUITE 206, RICHMOND, VA 23229-5109
(804) 288-4453
(804) 288-1621
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001088658
VA
Other
Enumeration date
01/29/2007
Last updated
02/28/2008
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