Provider Demographics
NPI:1396434866
Name:NANDIN SAENZ, NYSSA (DO)
Entity type:Individual
Prefix:
First Name:NYSSA
Middle Name:
Last Name:NANDIN SAENZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NYSSA
Other - Middle Name:
Other - Last Name:SAENZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6202 MAXIMUS DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-5817
Mailing Address - Country:US
Mailing Address - Phone:361-815-2613
Mailing Address - Fax:
Practice Address - Street 1:3533 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1721
Practice Address - Country:US
Practice Address - Phone:361-694-5465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program