Elise Nissen, M.D. is a student in an organized health care education training program in Vallejo, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Elise Nissen, M.D. NPI is 1700284312. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
975 SERENO DR
VALLEJO, CA
ZIP 94589-441
Phone: (707) 651-4919
The NPI 1700284312 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/12/2014 and was last updated on 12/12/2014.