Shana Nisenbaum
DO | Pediatrics | Female
Shana Nisenbaum, DO is a Albuquerque, New Mexico based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shana Nisenbaum is
1100 Central Ave Se, Albuquerque, New Mexico - 87106-4930. She can be contacted on phone at
505-724-7044 and fax number 505-841-1462.
Shana Nisenbaum is a sole proprietor of her business.
NPI number (Unique professional ID) for Shana Nisenbaum is
1669715793 which was assigned by NPPES on 27 Mar, 2013 and it was last updated on 30 Jun, 2016.
Shana Nisenbaum license number is
A-1948-16 for Pediatrics (208000000X) in New Mexico.
Shana Nisenbaum is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shana Nisenbaum basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shana Nisenbaum |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Shana Nisenbaum address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1100 Central Ave Se
Albuquerque, NM, 87106-4930
United States |
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| Phone Number : | 505-724-7044 |
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| Fax Number : | 505-841-1462 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669715793 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Mar, 2013 |
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| Last Updated On : | 30 Jun, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shana Nisenbaum are as mentioned. Primary taxonomy code for Shana Nisenbaum, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | R09-2013 | NM |
| 208000000X | Pediatrics | Yes | A-1948-16 | NM |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 26666, Phs Provider Enrollment
Albuquerque, NM, 87125-6666
United States |
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| Phone Number : | 505-923-6770 |
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| Fax Number : | 505-923-5354 |
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Business Location:
Patients can refer following map for directions to
Shana Nisenbaum practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.