Individual
JOVANNA L EISENBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
16 HOSPITAL RD, PLYMOUTH, NH 03264-1126
(207) 747-9650
Mailing address
108 LEDGESIDE LN, PLYMOUTH, NH 03264-3440
(207) 747-9650
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
085763-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207292803
—
TX
01
—
207292804
CSHCN
TX
Enumeration date
07/15/2006
Last updated
05/31/2025
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