Nussbaum, Kelly

Nussbaum, Kelly is an individual health care provider with primary practice located at 163 Engle St Ste 4A , Englewood NJ 07631-2530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Nussbaum, Kelly can be contacted via phone (201) 408-4487.

Contact Information

Primary practice address
163 Engle St Ste 4A Englewood NJ 07631-2530
Fax: (800) 352-3015
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 26NC07471600 New Jersey

Profile Details

NPI number 1215229596
LBN Legal business name Nussbaum, Kelly
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2011
Last updated May 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers