Individual
EILEEN M GLEASNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1941 LIMESTONE RD, SUITE 211, WILMINGTON, DE 19808-5408
(302) 998-1151
(302) 998-1154
Mailing address
1941 LIMESTONE RD, SUITE211, WILMINGTON, DE 19808-5408
(302) 998-1151
(302) 998-1154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0000125
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000858642
—
DE
Enumeration date
04/05/2006
Last updated
04/29/2013
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