Individual
AMY MICHELLE EISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
2450 HOLCOMBE BLVD STE NB-34L, HOUSTON, TX 77021-2039
(832) 828-3660
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
163597
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
AP126550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025570000
—
NE
05
—
1578720637
—
WY
05
—
21836523
—
CO
Enumeration date
05/16/2008
Last updated
06/01/2022
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