Individual
DIANA EISENBATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
7827 HIGHWAY N, SUITE 104, O FALLON, MO 63368-6704
(636) 734-0386
Mailing address
7827 HIGHWAY N, SUITE 104, O FALLON, MO 63368-6704
(636) 734-0386
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
2007003269
MO
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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