Provider Demographics
NPI:1912363086
Name:EISENBERG, RACHEL (ARNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:EISENBERG
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ROYAL PALM WAY UNIT 301
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7863
Mailing Address - Country:US
Mailing Address - Phone:954-804-6195
Mailing Address - Fax:
Practice Address - Street 1:931 VILLAGE BLVD STE 904
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1939
Practice Address - Country:US
Practice Address - Phone:561-683-0302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP6339214363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily