Individual
AMANDA LOUISE NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
193 RECURVE LN, MARTINSBURG, WV 25403-5402
(301) 524-6368
Mailing address
193 RECURVE LN, MARTINSBURG, WV 25403-5402
(301) 524-6368
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AC008421
MD
390200000X
Student in an Organized Health Care Education/Training Program
103962
WV
Other
Enumeration date
08/21/2023
Last updated
12/15/2025
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