Michael Jay Brislin Sr., RN
Individual provider Active NPI Orthopedic Registered Nurse · Spring Valley, CA
NPI 1821132218 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821132218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Registered Nurse 163WX0800X
- License
- 319863 (CA)
- Practice address
- 9939 Eubank LN
Spring Valley, CA 91977-6502 - Phone
- (619) 660-1377
- Fax
- (619) 660-1377
- NPI assigned
- Feb 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 319863 | CA | MD | Orthopedic Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | 319863 | CA | Yes |
Addresses
Primary practice location
9939 Eubank LN
Spring Valley, CA 91977-6502
Mailing address
9939 Eubank LN
Spring Valley, CA 91977-6502
Phone (619) 660-1377
Other providers in Spring Valley, CA
- Braden Partners LP
- Eva Bradley
- Haley Braga
- Kevin Robert Bresnahan
- Brighton Place East
- Broadway Pharmacy Corporation
- Roselia Martha Bledsoe Brooks
- Tara Bruton
- Kristina Buchanan
- Mai Tran Bui
All providers in Spring Valley, CA · Orthopedic Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.