Nisenbaum, Shana

Nisenbaum, Shana is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4930. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Nisenbaum, Shana can be contacted via phone (505) 724-7044.

Contact Information

Primary practice address
1100 Central Ave Se Albuquerque NM 87106-4930
Phone: (505) 724-7044
Fax: (505) 841-1462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X R09-2013 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A-1948-16 New Mexico

Profile Details

NPI number 1669715793
LBN Legal business name Nisenbaum, Shana
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2013
Last updated Jun 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers