Individual
KIRSTEN DEBRA EISENHOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
805 N RICHMOND ST, FLEETWOOD, PA 19522-1058
(610) 944-0464
Mailing address
805 N RICHMOND ST, FLEETWOOD, PA 19522-1058
(610) 944-0464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019507
PA
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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