Provider Demographics
NPI:1255524708
Name:BRUMBAUGH, EILEEN J (NNP)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:J
Last Name:BRUMBAUGH
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W BANK ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:VA
Mailing Address - Zip Code:22812-1002
Mailing Address - Country:US
Mailing Address - Phone:540-533-7474
Mailing Address - Fax:
Practice Address - Street 1:1840 AMHERST ST
Practice Address - Street 2:NICU 4TH FLOOR
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2808
Practice Address - Country:US
Practice Address - Phone:540-536-7897
Practice Address - Fax:540-536-7843
Is Sole Proprietor?:No
Enumeration Date:2007-08-18
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024140840363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal