Eisenbraun, Alisa

Eisenbraun, Alisa is an individual health care provider with primary practice located at 483 W. Seed Farm Rd. Hu Hu Kam Memorial Hospital, Sacaton AZ 85147-0038. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Eisenbraun, Alisa can be contacted via phone (602) 528-1200.

Contact Information

Primary practice address
483 W. Seed Farm Rd. Hu Hu Kam Memorial Hospital Sacaton AZ 85147-0038
Phone: (602) 528-1200
Fax: (602) 528-1255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP5202 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP5202 Arizona

Profile Details

NPI number 1871923011
LBN Legal business name Eisenbraun, Alisa
Credentials FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2013
Last updated Dec 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871923011 NPPES
Arizona MEDICAID 884654

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