Bonnie R Nussbaum (NPI# 1114071289, PAC ID# 8426949314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1114071289 |
| PAC ID by PECOS | 8426949314 |
| Professional Enrollment ID | I20120913000077 |
| Full Name | Bonnie R Nussbaum |
| Organization Legal Name | HARBOR HEALTH AND WELLNESS LLC |
| Address |
2701 Larsen Rd Suite 216 Green Bay WI 54303-4863 |
| Phone Number | 9208836995 |
| Gender | F |
| Graduation Year | 1990 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 5294056685 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2701 Larsen Rd, Suite 216, Green Bay, WI 54303-4863 | 9208836995 | HARBOR HEALTH AND WELLNESS LLC |
| 2701 Larsen Rd, Green Bay, WI 54303-4863 | 9208836995 | HARBOR HEALTH AND WELLNESS LLC |
| Organization Legal Name | HARBOR HEALTH AND WELLNESS LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle R Eddy | Clinical Social Worker | Harbor Health and Wellness LLC | 2701 Larsen Rd, Suite 216, Green Bay, WI 54303-4863 |
| Street Address |
2701 LARSEN RD SUITE 216 |
| City | GREEN BAY |
| State | WI |
| Zip | 54303-4863 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle R Eddy | Clinical Social Worker | Harbor Health and Wellness LLC | 2701 Larsen Rd, Suite 216, Green Bay, WI 54303-4863 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Blanchette | Clinical Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | |
| Lindsay A Carmody | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Bridget E Harcus-wickersham | Nurse Practitioner | Life Line Community Healthcare | 1039 W Mason St, Green Bay, WI 54303-1842 |
| Kenneth Sann | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Mark W Bocik | Certified Registered Nurse Anesthetist (crna) | 1077 W Mason St, Green Bay, WI 54303-1858 | |
| Julaine B Feld | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Lana C Cheslock | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Marilyn Brennan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Cynthia S Heffernan | Clinical Social Worker | Foundations Health and Wholeness Inc | 1061 W Mason St, Green Bay, WI 54303-1858 |
| Michael Scott Servi | Optometry | Tower Clock Eye Center Sc | 1087 W Mason St, Green Bay, WI 54303-1859 |
| Find all physicians in zip 54303 | |||
| City | GREEN BAY |
| Zip Code | 54303 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | GREEN BAY + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Bonnie R Nussbaum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.