MEDICARE: MRS. EMILY ANN DOWLER EIBEN 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	363LF0000X	Family Nurse Practitioner	SP019183	PA

General Provider Information

NPI Number	:	1548742471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY ANN DOWLER EIBEN NP

Provider Business Mailing Address
First Line	:	300 HALKET ST STE 4500
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3108
Country	:	US
Telephone Number	:	412-641-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	5201 BAUM BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-2303
Country	:	US
Telephone Number	:	412-687-3627
Fax Number	:

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

Provider Enumeration Date	:	09/06/2018
Last Update Date	:	06/22/2020

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