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NPI Code Detail

MEDICARE: TAYLOR A EISENBERG CRNA

MEDICARE: TAYLOR A EISENBERG CRNA
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
1367500000XCertified Registered Nurse Anesthetist2023049070MO

General Provider Information

NPI Number : 1548949498
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR A EISENBERG CRNA
Provider Business Mailing Address
First Line : 5220 ESSEN LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3542
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5220 ESSEN LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3542
Country : US
Telephone Number : 225-526-1971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 02/18/2025

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Directions to “ TAYLOR A EISENBERG CRNA” Practice Location

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