Individual
LAYAL A NISSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-2631
Mailing address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-2631
(732) 324-4669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66944
AZ
208M00000X
Hospitalist Physician
Primary
66944
AZ
Other
Enumeration date
03/22/2019
Last updated
07/26/2022
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