Individual
EILEEN POLT CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
85 OLD EAGLE SCHOOL RD, STRAFFORD, PA 19087-2544
(610) 688-3744
(610) 688-4490
Mailing address
85 OLD EAGLE SCHOOL RD, STRAFFORD, PA 19087-2544
(610) 688-3744
(610) 688-4490
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP002251G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP002251G
STATE LICENSE
PA
Enumeration date
06/08/2007
Last updated
07/08/2007
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