NPI 1497597769 · live from the CMS NPI Registry
Nina Kaiser Fonseca, MD
Psychiatry & Neurology, Neurology in Charleston, SC. National Provider Identifier 1497597769, active.
NPI record
| NPI | 1497597769 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 171 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-792-3221 |
| Mailing address | 169 Ashley Ave, Charleston, SC 29425 |
| Enumerated | June 8, 2024 |
| Last updated | June 29, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | LL92303 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.