MEDICARE: MS. NINA NELLHAUS SABGHIR CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	F000183	NY
2	367A00000X	Advanced Practice Midwife	F000183	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740289172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NINA NELLHAUS SABGHIR CNM

Provider Business Mailing Address
First Line	:	752 E 9TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2202
Country	:	US
Telephone Number	:	718-434-6622
Fax Number	:	718-434-6622

Provider Business Practice Location Address
First Line	:	752 E 9TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2202
Country	:	US
Telephone Number	:	718-434-6622
Fax Number	:	718-434-6622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	06/15/2016

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