Dr. Michael Joseph Nisco
Family Doctor - Hospice and Palliative Medicine
1416 W Twain Ave
Fresno
, California 93711-3013
Dr. Michael Joseph Nisco
Family Doctor - Hospice and Palliative Medicine
1416 W Twain Ave
Fresno
, California 93711-3013
(877) 868-4827
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Joseph Nisco
- 670 N Mccarthy Blvd Ste 220
- Milpitas, CA
- Zip : 95035-5119
- Phone : (877) 868-4827
Second Address
- Dr. Michael Joseph Nisco
- 1416 W Twain Ave
- Fresno, CA
- Zip : 93711-3013
- Fax : (559) 608-2223
- Phone : (559) 303-3666
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A55139 | CA |
National Provider Identifier
| NPI | 1538159124 |
|---|---|
| Provider Name | Dr. Michael Joseph Nisco |
| First Address | Milpitas, CA 95035-5119 |
| Second Address | Fresno, CA 93711-3013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2005 |
| Last Update Date | 11/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G63557 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.