MS. MARY ELIZABETH EILERS


Address: 1100 Lindig Ln, Johnson City, TX 78636-4489
Phone: 8308682997

MS. MARY ELIZABETH EILERS (NPI# 1578763900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578763900
Entity Type Individual
Full Name MS. MARY ELIZABETH EILERS
Credential APN
Practice Address 1100 Lindig Ln
Johnson City
TX 78636-4489
Practice Telephone 8308682997
Mailing Telephone 8308682997
Enumeration Date 2007-07-24
Last Update Date 2008-05-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
2007004259 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE PART B P00462462 01

Office Location

Street Address 1100 LINDIG LN
City JOHNSON CITY
State TX
Zip Code 78636-4489

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902237985 Melanie Marie Greer Nurse Practitioner 403 N State of Franklin Rd, Johnson City, TN 37604-6034 2013-12-02
1124161377 N. Kathleen Everett Nurse Practitioner 207 E Myrtle Ave, Johnson City, TN 37601-4633 2007-02-15
1619904307 Peggy M. Mcconnell Nurse Practitioner 207 E Myrtle Ave, Johnson City, TN 37601-4633 2006-06-27

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1104423300 Donna Ann Ford Nurse Practitioner 1605 Turtle Dr, San Angelo, TX 76904-7708 2020-10-01
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Competitor

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City JOHNSON CITY
Zip Code 78636

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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