Provider Demographics
NPI:1285110494
Name:DRESSEL, NICHOLAS STEPHEN
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:STEPHEN
Last Name:DRESSEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 GASTON AVE STE 755
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1907
Mailing Address - Country:US
Mailing Address - Phone:214-823-4200
Mailing Address - Fax:214-823-4206
Practice Address - Street 1:3600 GASTON AVE STE 755
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1907
Practice Address - Country:US
Practice Address - Phone:214-823-4200
Practice Address - Fax:214-823-4206
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137889363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily