Nisley, Todd

Nisley, Todd is an individual health care provider with primary practice located at 583 S Clarizz Blvd , Bloomington IN 47401-5515. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Nisley, Todd can be contacted via phone (812) 333-2663.

Contact Information

Primary practice address
583 S Clarizz Blvd Bloomington IN 47401-5515
Phone: (812) 333-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Indiana

Profile Details

NPI number 1245296508
LBN Legal business name Nisley, Todd
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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