Individual
JOANN EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7330
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN187153
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221411
UNISON
OH
01
—
000000515991
ANTHEM
—
01
—
0583328
BCMH
OH
05
—
2369422
—
OH
01
—
414967
WELLCARE MEDICAID
OH
01
—
430050424
RAILROAD MEDICARE
OH
01
—
7396930
AETNA
OH
01
—
749804
BUCKEYE MEDICAID
OH
Enumeration date
09/26/2006
Last updated
12/18/2013
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