Healthcare Provider Details

I. General information

NPI: 1699399295
Provider Name (Legal Business Name): NISHAUN BATTLE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2020
Last Update Date: 05/31/2020
Certification Date: 05/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9549 AMBERDALE DR
NORTH CHESTERFIELD VA
23236-1256
US

IV. Provider business mailing address

PO BOX 4072
CHESTER VA
23831-8474
US

V. Phone/Fax

Practice location:
  • Phone: 804-362-7372
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: