Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 9500467 | NC |
N | 363LW0102X | Nurse Practitioner - Women's Health | 182322 | NC |
NPI | 1093943250 |
---|---|
Provider Name | Nan Kathleen Nussman |
First Address | Asheville, NC 28803-2493 |
Second Address | Asheville, NC 28803-2493 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2009 |
Last Update Date | 09/10/2015 |