Individual
ANNA EISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
811 N MAIN ST, O FALLON, MO 63366-1744
(636) 541-1946
Mailing address
811 N MAIN ST, O FALLON, MO 63366-1744
(636) 541-1946
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2013003928
MO
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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