Provider Demographics
NPI:1528803418
Name:NISEN, SKYLAR
Entity type:Individual
Prefix:MRS
First Name:SKYLAR
Middle Name:
Last Name:NISEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SKYLAR
Other - Middle Name:
Other - Last Name:FRANCESCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3446 FREEMANSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-5747
Mailing Address - Country:US
Mailing Address - Phone:484-232-9066
Mailing Address - Fax:
Practice Address - Street 1:3446 FREEMANSBURG AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-5747
Practice Address - Country:US
Practice Address - Phone:484-232-9066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula