Abaigale Nussbaum, RN
Registered Nurse in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1174262000
StatusActive
Last updated in NPPESMay 31, 2022
Details
- NPI
- 1174262000
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Abaigale Nussbaum
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2022
- Certification date
- May 31, 2022
- Last updated
- May 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 28244024A | IN | Yes |
Practice location
2121 Lake AveFort Wayne, IN 46805-5100
Phone 260-426-5431
Mailing address
2946 Greenbriar DrFort Wayne, IN 46804-2741
Phone 219-851-4394
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