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

Theresa Rose Nissenbaum

Individual provider Hearing Instrument Specialist · NPI 1902787492

Theresa Rose Nissenbaum is a Hearing Instrument Specialist in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025

Practice location Address checks out

102 Shore Dr Ste 400
Worcester, MA 01605-3154
Phone: (508) 753-8155
Show map & directions

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

Specialties & licences

Hearing Instrument Specialist (primary) Taxonomy 237700000X · Licence 6587 (MA)

Record details

NPI number1902787492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 10, 2025

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