Individual
TAMMY S EISENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
166 SOUTH NEW HOLLAND ROAD, KINZERS, PA 17535-5600
(717) 299-6371
Mailing address
1015 GREAT HALL DRIVE, LEBANON, PA 17042
(717) 507-8495
(717) 274-9746
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP010231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102276709
—
PA
Enumeration date
03/13/2009
Last updated
04/06/2022
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