Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shana Nisenbaum, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669715793

Shana Nisenbaum, DO is a Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2013.

Licensed in
NM
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone: (505) 724-7044
Fax: (505) 841-1462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A-1948-16 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R09-2013 (NM)

Record details

NPI number1669715793
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESJune 30, 2016

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