Individual
DR. ANITA MARIE NUSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6425 N. PENSACOLA BOULEVARD, PENSACOLA, FL 32503
(850) 471-7792
Mailing address
3180 HYDE PARK PL, PENSACOLA, FL 32503-5846
(850) 436-7799
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01051463A
IN
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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