MEDICARE: EILEEN JAYNE ARENSON NP

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
1	363L00000X	Nurse Practitioner	SP010339	PA

General Provider Information

NPI Number	:	1518038033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EILEEN JAYNE ARENSON NP

Provider Business Mailing Address
First Line	:	601 PARK ST
Second Line	:
City	:	HONESDALE
State	:	PA
Zip	:	18431-1445
Country	:	US
Telephone Number	:	570-251-6641
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 MAPLE AVE STE 15
Second Line	:
City	:	HONESDALE
State	:	PA
Zip	:	18431-1460
Country	:	US
Telephone Number	:	570-253-8219
Fax Number	:	570-253-8242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	05/01/2023

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