Provider Demographics
NPI:1780827626
Name:LIGDAY, EILEEN C (CRNP)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:C
Last Name:LIGDAY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18952 E FISHER RD
Mailing Address - Street 2:
Mailing Address - City:ST MARYS CITY
Mailing Address - State:MD
Mailing Address - Zip Code:20686-3002
Mailing Address - Country:US
Mailing Address - Phone:240-895-4289
Mailing Address - Fax:240-895-4937
Practice Address - Street 1:18952 E FISHER RD
Practice Address - Street 2:
Practice Address - City:ST MARYS CITY
Practice Address - State:MD
Practice Address - Zip Code:20686-3002
Practice Address - Country:US
Practice Address - Phone:240-895-4289
Practice Address - Fax:240-895-4937
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR152786363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics