Individual
CANDEE J. EISENHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
21321 E OCOTILLO RD STE 102, QUEEN CREEK, AZ 85142
(480) 815-7074
(949) 404-6076
Mailing address
PO BOX 1009, QUEEN CREEK, AZ 85142-1821
(480) 815-7074
(949) 404-6076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
131305
AZ
390200000X
Student in an Organized Health Care Education/Training Program
131305
AZ
Other
Enumeration date
02/11/2017
Last updated
06/03/2020
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