Provider Demographics
NPI:1215661699
Name:DI PAOLO, NELSON CESAR (PHD, BSN)
Entity type:Individual
Prefix:DR
First Name:NELSON
Middle Name:CESAR
Last Name:DI PAOLO
Suffix:
Gender:M
Credentials:PHD, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15301 NE 10TH ST APT D302
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4671
Mailing Address - Country:US
Mailing Address - Phone:064-996-7302
Mailing Address - Fax:
Practice Address - Street 1:15301 NE 10TH ST APT D302
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4671
Practice Address - Country:US
Practice Address - Phone:064-996-7302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC55915171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter