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NPI Code Detail

MEDICARE: MS. EILEEN NEIZER NP-C

MEDICARE: MS. EILEEN NEIZER NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner302261GA
2363LF0000XFamily Nurse PractitionerAPRN-NP302261GA
3363LF0000XFamily Nurse PractitionerF348650NY

General Provider Information

NPI Number : 1306596382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EILEEN NEIZER NP-C
Provider Business Mailing Address
First Line : 1963 HIGHWAY 138 SW
Second Line :
City : RIVERDALE
State : GA
Zip : 30296-1880
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 CLEVELAND AVE
Second Line :
City : EAST POINT
State : GA
Zip : 30344-3602
Country : US
Telephone Number : 404-564-6778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2022
Last Update Date : 10/29/2025

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