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Kellie E Nissen
Student in an Organized Health Care Education/Training Program in Berkeley, California
NPI 1669023750

Kellie E Nissen is a Student in an Organized Health Care Education/Training Program based in Berkeley, CA. Kellie E Nissen practices in Berkeley, CA. The NPI Number for Kellie E Nissen is 1669023750 and holds a License No. (California).

The current practice location address for Kellie E Nissen is 1936 University Ave Ste 191, Berkeley, CA and can be reached out via phone at 510-859-3673.

Location: 1936 University Ave Ste 191, Berkeley, CA, 94704-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669023750
Provider Name
Kellie E Nissen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1936 University Ave Ste 191, Berkeley, CA, 94704-1000
Phone Number
510-859-3673
Fax Number
Provider Enumeration Date
09/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1936 University Ave Ste 191
City
Berkeley
State
California
Zip
94704-1000
Phone Number
510-859-3673
Fax Number
person
Provider Business Mailing Address Details
Address
1936 University Ave Ste 191
City
Berkeley
State
California
Zip
94704-1000
Phone Number
510-859-3673
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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