Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marlin Nissen, RN

Individual provider Registered Nurse · NPI 1194653949

Marlin Nissen, RN is a Registered Nurse in Santa Rosa, California. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

6726 Fairfield Dr
Santa Rosa, CA 95409-6009
Phone: (415) 725-4487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 295469 (AZ)

Record details

NPI number1194653949
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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