Healthcare Provider Details

I. General information

NPI: 1437372349
Provider Name (Legal Business Name): CHARLENE K. ESHLEMAN RN, CS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 MARIETTA AVE
LANCASTER PA
17603-3239
US

IV. Provider business mailing address

822 MARIETTA AVE
LANCASTER PA
17603-3239
US

V. Phone/Fax

Practice location:
  • Phone: 717-399-8288
  • Fax: 717-399-8968
Mailing address:
  • Phone: 717-399-8288
  • Fax: 717-399-8968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN255392L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: