Individual
MS. TAMMY L. EISENBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
Mailing address
2121 7TH ST, PARKERSBURG, WV 26101-3803
(304) 485-1721
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
17846
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17846
LPN
WV
Enumeration date
01/28/2008
Last updated
01/28/2008
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