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General NPI Number Information
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NPI Number | 1376213504
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Entity Type | Individual
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Provider Name | KRISTEN ALYSE EISENBERG FNP-C, ACNP-AG
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Gender | Female
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Dates
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Enumeration Date | 09/19/2021
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1812 S J ST STE 120
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City | TACOMA
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State | WA
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Zip | 98405-4965
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Country | US
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Telephone | 253-428-2200
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Fax | 253-428-2299
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Provider Business Mailing Address
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Address Line | 1812 S J ST STE 120
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City | TACOMA
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State | WA
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Zip | 98405-4965
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Country | US
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Telephone | 253-428-2200
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Fax | 253-428-2299
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP70026462
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN70021539
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP70026462
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License Number State | WA
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