Individual
MS. GABRIELLA ANN NUSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,IP
Contact information
Practice address
37 SUNNYSLOPE DRIVE, MANSFIELD,OH 44907, MANSFIELD, OH 44907-2517
(419) 756-2039
Mailing address
37 SUNNYSLOPE DR, MANSFIELD, OH 44907-2517
(419) 756-2039
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN095910
OH
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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