Individual
ALICE EIDENZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1045 BUSTLETON PIKE, FEASTERVILLE TREVOSE, PA 19053-7676
(215) 995-1638
Mailing address
39 BELLWOOD DR, FEASTERVILLE TREVOSE, PA 19053-7216
(267) 241-1580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018353
PA
Other
Enumeration date
12/19/2017
Last updated
10/23/2024
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