Individual
PAULA F EITELJORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
402 N ROGERS ST, BLOOMINGTON, IN 47404-3740
(812) 337-6163
(812) 330-1933
Mailing address
402 N ROGERS ST, BLOOMINGTON, IN 47404-3740
(812) 337-6163
(812) 330-1933
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28064150A
IN
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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