Individual
GLYNN NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 280-2200
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
333829
LA
Other
Enumeration date
08/15/2022
Last updated
01/20/2026
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