Male or Other

Richard O. Nenstiel PAC

Physician Assistant in Gulf Breeze, FL(View on Map)

Full Name

Richard O Nenstiel PAC

NPI Number

1053313312

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/01/2005

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X
363AS0400X

Primary Taxonomy

Yes
No
No

Licenses

State

Alabama
Florida

License Number

PA-143
PA9115249

Contact
Information

Purpose

Mailing
Location

Address

6701 AIRPORT BLVD
1040 GULF BREEZE PKWY STE 200

City

Mobile
Gulf Breeze

State

AL
FL

Postal Code

36608
32561-7808

Country

US
US

Telephone Number

(251) 633-5155
(850) 916-3700

Identifiers

Identifier

009942453
51540426

Identifier State

AL
AL

Identifier Issuer

Unknown
BC

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/08/2023

Provider Address

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