Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | R205878 | MD |
N | 363LG0600X | Nurse Practitioner - Gerontology | R205878 | MD |
NPI | 1003209503 |
---|---|
Provider Name | Alison C Eissler |
First Address | Baltimore, MD 21201 |
Second Address | Baltimore, MD 21201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2015 |
Last Update Date | 09/03/2015 |