Provider Demographics
NPI:1750686994
Name:SVENDSEN, EILEEN (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:SVENDSEN
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 MONTVALE AVE
Mailing Address - Street 2:HEMATOLOGY & ONCOLOGY CENTER
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-2445
Mailing Address - Country:US
Mailing Address - Phone:781-224-5585
Mailing Address - Fax:781-224-5817
Practice Address - Street 1:41 MONTVALE AVE
Practice Address - Street 2:HEMATOLOGY & ONCOLOGY CENTER
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-2445
Practice Address - Country:US
Practice Address - Phone:781-224-5870
Practice Address - Fax:781-224-5869
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2266276363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care