Disla, Vanessa

Disla, Vanessa is an individual health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1915. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Disla, Vanessa can be contacted via phone (551) 996-4778.

Contact Information

Primary practice address
30 Prospect Ave Hackensack NJ 07601-1915
Phone: (551) 996-4778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9105002 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00184500 New Jersey

Profile Details

NPI number 1801090253
LBN Legal business name Disla, Vanessa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Mar 25th, 2020 - about 6 years ago

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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