Provider Demographics
NPI:1588980734
Name:NASSERI, DALILA DESIREE (DC, MSN, ARNP, FNP-C)
Entity type:Individual
Prefix:
First Name:DALILA
Middle Name:DESIREE
Last Name:NASSERI
Suffix:
Gender:F
Credentials:DC, MSN, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 BIORKA ST
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-7629
Mailing Address - Country:US
Mailing Address - Phone:907-738-3434
Mailing Address - Fax:
Practice Address - Street 1:607 BIORKA ST
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7629
Practice Address - Country:US
Practice Address - Phone:907-738-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60865170363LF0000X
OR201906333NP-PP363LF0000X
AKNUR R 33590163W00000X
AK131343363LF0000X
AKCHIC549111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse