Dustin L Nissen
Medical Specialty
Professional ID
- NPI: 1508147232
- PECOS ID: 4486875572
- Enrollment ID: I20141014000976
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2011
Hospital Service
- Hospital CCN1: 030036
- Business Name (LBN)1: Chandler Regional Medical Center
- Hospital CCN2: 030119
- Business Name (LBN)2: Mercy Gilbert Medical Center
Medical Practices
- Organization Name: Aia Hospitalists Llc
- Group Practice ID assigned by PECOS: 3375583636
- Number of Group Practice member: 52
Location
- Address1: 4530 E Muirwood Dr
- Address2: Suite 105
- City: Phoenix
- State: Arizona
- Zip Code: 85048
- Phone Number: (480)961-2303
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):