Damika Denise Nesbitt, R.N.

Individual provider Active NPI Registered Nurse · Eddystone, PA

NPI 1679717243 · NPPES record last updated Jun 15, 2022

Key facts

NPI
1679717243
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN566754 (PA)
Practice address
1510 Chester Pike Ste 301
Eddystone, PA 19022-1471
Phone
(610) 497-7399
Fax
(610) 497-7472
NPI assigned
Apr 28, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN566754PAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN566754 PA
Maternal Newborn Registered Nurse 163WM0102X RN566754 PA
Registered Nurse 163W00000X RN566754 PA Yes

Addresses

Primary practice location

1510 Chester Pike Ste 301
Eddystone, PA 19022-1471

Mailing address

1510 Chester Pike Ste 301
Eddystone, PA 19022-1471
Phone (610) 497-7399

Other identifiers

IdentifierTypeStateIssuer
1023259390001MedicaidPA

Other names

  • Damika Denise Simpson Former name

Other providers in Eddystone, PA

All providers in Eddystone, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.