Healthcare Provider Details

I. General information

NPI: 1851688691
Provider Name (Legal Business Name): EILEEN STENGEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 MOUNTAIN BLVD
WERNERSVILLE PA
19565-9219
US

IV. Provider business mailing address

1076 ROUTE 47 S
RIO GRANDE NJ
08242-1608
US

V. Phone/Fax

Practice location:
  • Phone: 570-404-5157
  • Fax: 833-411-5741
Mailing address:
  • Phone: 609-741-6363
  • Fax: 609-939-4450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00823500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN333174L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00823500
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP013052
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: