SHANA NISENBAUM, DO

NPI: 1669715793 · Individual · Active

Primary Specialty

Pediatrics Physician
Pediatrics

Practice Location

1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930 Map ↗
Phone: 505-724-7044
Fax: 505-841-1462

All Specialties & Licenses

  • Pediatrics Physician Primary (license: A-1948-16, NM)
  • Student in an Organized Health Care Education/Training Program (license: R09-2013, NM)

NPI Registration

Enumerated: 2013-03-27

Last CMS Update: 2016-06-30