Individual
ALISA EISENBRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
483 W. SEED FARM RD., HU HU KAM MEMORIAL HOSPITAL, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
P.O. BOX 38, HU HU KAM MEMORIAL HOSPITAL, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5202
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP5202
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884654
—
AZ
Enumeration date
11/26/2013
Last updated
12/06/2023
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