Individual
MRS. JANNA K EISENBART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
910 MAIN ST, GOODLAND, KS 67735-2941
(785) 890-7950
(785) 890-7951
Mailing address
910 MAIN ST, PO BOX 360, GOODLAND, KS 67735-2941
(785) 890-7950
(785) 890-7951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45411
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100448700F
—
KS
Enumeration date
07/07/2005
Last updated
08/27/2012
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