Individual provider · Type 1 NPI

Shana Nisenbaum, DO

Pediatrics Physician · Albuquerque, NM

NPI number 1669715793 Active

Practice location

1100 Central Ave SE
Albuquerque, NM 87106-4930

Call (505) 724-7044 Map

Fax (505) 841-1462

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XR09-2013 (NM)
Pediatrics Physician Primary 208000000XA-1948-16 (NM)

Pediatrics Physician: A pediatrician 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 de…

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About NPI 1669715793

Shana Nisenbaum, DO's National Provider Identifier is 1669715793, issued on Mar 27, 2013. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 30, 2016.