Individual provider · Type 1 NPI

Renie Eis, PNP

Pediatric Nurse Practitioner · New York, NY

NPI number 1891830709 Active

Practice location

4781 Broadway
New York, NY 10034-4915

Fax (212) 304-6924

Mailing address

22 Lancaster Ct Apt B
Wayne, NJ 07470-7820

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X380052 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1891830709

Renie Eis, PNP's National Provider Identifier is 1891830709, issued on Feb 20, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Nov 29, 2012.