Individual
NICHOLAS CONRAD EISEMANN-ASTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1642 S PRIEST DR STE 101, TEMPE, AZ 85281-6204
(602) 216-7094
(602) 389-3683
Mailing address
7165 E UNIVERSITY DR STE 155, MESA, AZ 85207-6412
(480) 913-5872
(602) 848-3105
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
226243
AZ
Other
Enumeration date
01/25/2023
Last updated
02/26/2024
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