Individual
EILEEN LUCILLE HISSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
601 E MAIN ST, WAYNESBORO, PA 17268-2332
(717) 765-5085
(717) 765-5066
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014050
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102989349
—
PA
01
—
12763901
CAQH
—
Enumeration date
09/29/2014
Last updated
01/31/2025
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