Individual
JESSICA EYSENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6298
Mailing address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN2321095
MA
367500000X
Certified Registered Nurse Anesthetist
MCS002800B
MA
Other
Enumeration date
07/31/2018
Last updated
08/02/2023
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