Individual
MELISSA GAIL EISENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 LINCOLN AVE, EVANSVILLE, IN 47722-1553
(812) 488-5650
Mailing address
10400 DEVON CT, NEWBURGH, IN 47630-8888
(270) 977-0315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28172239A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
3004125
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000309913
ANTHEM BCBS PIN
KY
05
—
74007428
—
KY
Enumeration date
02/01/2006
Last updated
12/03/2024
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