National Provider Identifier

Jennifer Eisenhauer

Jennifer Eisenhauer is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Spencerport, NY and a listed phone number of (585) 749-8075.

NPI 1912549601Spencerport, NYLicensed Practical Nurse

Profile Overview

NPI
1912549601
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 14, 2019
Last Updated
October 14, 2019

Practice Location

  • 22 Maier Cir
  • Spencerport, NY 14559-2419

Phone: (585) 749-8075

Specialties

  • Licensed Practical Nurse (164W00000X)

Endpoints

  • home

    Connect Url | Direct | Spencerport, NY 14559

Full Record
NPI
1912549601
Entity Type
Individual
Last Name
Eisenhauer
First Name
Jennifer
Provider Other Last Name
Eisenhauer
Provider Other First Name
Jennifer
Provider Other Last Name Type Code
1
Mailing Street Address
22 Maier Cir
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-2419
Mailing Country
US
Practice Street Address
22 Maier Cir
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-2419
Practice Country
US
Practice Phone
(585) 749-8075
Enumeration Date
October 14, 2019
Last Updated
October 14, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
336008 (NY)