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Individual

AMY MICHELLE EISS

Active
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Individual

AMY MICHELLE EISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

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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