Individual
BROOKE W. EISENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1840 E BASELINE RD STE A1, TEMPE, AZ 85283-1527
(480) 718-5400
(877) 666-4624
Mailing address
PO BOX 308, QUEEN CREEK, AZ 85142-1806
(480) 718-5400
(877) 666-4624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3533
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505945
—
AZ
01
—
AP3533
ADVANCED PRACTICE NUMBER
AZ
Enumeration date
01/19/2010
Last updated
01/24/2017
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