Individual
HEATHER EISENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 WHALLEY AVE, NEW HAVEN, CT 06515-1149
(203) 889-2676
(203) 889-2691
Mailing address
1164 OLD NORTHFIELD RD, THOMASTON, CT 06787-1122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4889
CT
363LF0000X
Family Nurse Practitioner
4889
CT
Other
Enumeration date
03/30/2020
Last updated
05/13/2021
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