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Contact Information

NANETTE S NUESSLE, MD
7219 N LITCHFIELD RD
BLDG 1130
GLENDALE, AZ85309
 Phone: 623-856-4029
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NANETTE S NUESSLE · (Female)

NPI Number 1184630741
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 08/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 47491
  • IL License # 036-087877
  • KS License # 04-34846
  • IL Medicaid 036087877 1
  • Other 04-34846 KANSAS LICENSE
  • Other 279500 MEDICARE GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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