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Individual
ELAINE NUSSBAUM
Active
Individual
ELAINE NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NN06481700
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
RN222173
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124416A
—
GA
Enumeration date
02/09/2006
Last updated
03/05/2020
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