Mary J Eichelberger
Nurse Practitioner - Gerontology
9301 N 76th St
Milwaukee
, Wisconsin 53223-1003
Mary J Eichelberger
Nurse Practitioner - Gerontology
9301 N 76th St
Milwaukee
, Wisconsin 53223-1003
(414) 357-5406
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mary J Eichelberger
- 9301 N 76th St
- Milwaukee, WI
- Zip : 53223-1003
- Fax : (414) 357-5406
- Phone : (414) 357-5233
Second Address
- Mary J Eichelberger
- 9301 N 76th St
- Milwaukee, WI
- Zip : 53223-1003
- Fax : (414) 357-5406
- Phone : (414) 357-5233
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 88611-030 | WI |
National Provider Identifier
| NPI | 1063586329 |
|---|---|
| Provider Name | Mary J Eichelberger |
| First Address | Milwaukee, WI 53223-1003 |
| Second Address | Milwaukee, WI 53223-1003 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.