Individual
MRS. MICHELLE LEE EISENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 STOCKTON DR, TOMS RIVER, NJ 08755-6433
(732) 363-6655
(732) 363-6656
Mailing address
PO BOX 142, LANOKA HARBOR, NJ 08734-0142
(732) 674-6639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00956300
NJ
Other
Enumeration date
09/09/2019
Last updated
11/11/2021
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