Provider Demographics
NPI:1215043443
Name:EISER, ELYSE GAIL (RN, CNM, RNP)
Entity Type:Individual
Prefix:
First Name:ELYSE
Middle Name:GAIL
Last Name:EISER
Suffix:
Gender:F
Credentials:RN, CNM, RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16051 KASOTA RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2215
Mailing Address - Country:US
Mailing Address - Phone:760-946-8169
Mailing Address - Fax:
Practice Address - Street 1:16051 KASOTA RD
Practice Address - Street 2:SUITE 400
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2215
Practice Address - Country:US
Practice Address - Phone:760-946-8169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW436163WP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP1700XNursing Service ProvidersRegistered NursePerinatal