IndividualActive
Kelly Nussbaum, APRN
NPI 1215229596 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Englewood, NJ
Provider details
- NPI number
- 1215229596
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 26NC07471600 (NJ)
Practice location
163 Engle St Ste 4a
Englewood, NJ 07631-2530
Phone: (201) 408-4487
Fax: (800) 352-3015
Mailing address
9 Ricker Rd
Kinnelon, NJ 07405
Registry dates
- Enumerated
- 2011-05-05
- Last updated
- 2011-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.