Dana Brunell Eisenberg
Nurse Practitioner, Pediatrics in Bridgeport, CT. Individual provider (NPI-1).
NPI number1063990612
StatusActive
Last updated in NPPESFeb 13, 2023
Details
- NPI
- 1063990612
- Entity type
- Individual (NPI-1)
- Name
- Dana Brunell Eisenberg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2018
- Certification date
- Feb 13, 2023
- Last updated
- Feb 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 7799 | CT | Yes |
| 163WC1500X | Registered Nurse, Community Health | 136714 | CT |
Practice location
46 Albion StBridgeport, CT 06605
Phone 203-330-6000
Mailing address
140 Dixon StBridgeport, CT 06604-1803
Other practice locations
282 Washington St
Hartford, CT 06106-3322
Hartford, CT 06106-3322
Phone 860-837-5758
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