Provider Demographics
NPI:1932804051
Name:NIXON, NIA MARLEY
Entity Type:Individual
Prefix:
First Name:NIA
Middle Name:MARLEY
Last Name:NIXON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 BAYSHORE BLVD UNIT 601
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-7398
Mailing Address - Country:US
Mailing Address - Phone:702-501-1936
Mailing Address - Fax:
Practice Address - Street 1:2401 BAYSHORE BLVD UNIT 601
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-7398
Practice Address - Country:US
Practice Address - Phone:702-501-1936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula