Todd Nisley, P.A.
NPI #1245296508 in Bloomington, Indiana
Provider Information
- NPI Number
- 1245296508
- Entity Type
- Individual
- Name
- Todd Nisley, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- P.A.
- Enumeration Date
- Apr 25, 2006
- Last Updated
- Dec 18, 2020
Practice Location
- Address
- 583 S CLARIZZ BLVD
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47401-5515
- Phone
- (812) 333-2663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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