Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
PHYLLIS TERRY EISENBERG II
Active
Individual
PHYLLIS TERRY EISENBERG II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS RN, MEED
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1884-125
WI
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
51189-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39790000
—
WI
Enumeration date
01/03/2007
Last updated
09/26/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up