Charles, Nesly Ismenard

Charles, Nesly Ismenard is an sole proprietor health care provider with primary practice located at 5406 W Glenn Dr Ste 3 , Glendale AZ 85301-2662. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Charles, Nesly Ismenard can be contacted via phone (623) 270-6336.

Contact Information

Primary practice address
5406 W Glenn Dr Ste 3 Glendale AZ 85301-2662
Phone: (623) 270-6336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 21-268 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10014 Arizona

Profile Details

NPI number 1700564846
LBN Legal business name Charles, Nesly Ismenard
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2023
Last updated May 27th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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