Individual provider · Type 1 NPI
Amanda Louise Nusbaum, RN
Nurse Practitioner · Martinsburg, WV
Practice location
193 Recurve Ln
Martinsburg, WV 25403-5402
Other practice locations
- 11110 Medical Campus Rd Ste 126, Hagerstown, MD 21742-6799 · (301) 241-7591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AC008421 (MD) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 103962 (WV) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1053195339
Amanda Louise Nusbaum, RN's National Provider Identifier is 1053195339, issued on Aug 21, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Martinsburg, WV. The record was last updated on Dec 15, 2025.