DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY ANNE Q EISMA, DO

Active

2083A0100X · NELLIS AFB, NV

Registration Details

NPI Number
1831420900
Provider Type
Individual
Gender
Female
NPI Issued
Jan 28, 2010 (16.22731014811 yrs)
Last Updated
Oct 6, 2017
License
02003990A (IN)

Practice Information

Address
4700 LAS VEGAS BLVD N
NELLIS AFB, NV, 891916600
Browse NV providers · Browse ZIP 89191
Phone
7026532766
Primary Specialty
2083A0100X
2083A0100X

Other 2083A0100X Providers in NELLIS AFB, NV

Name Credential NPI
DR. SCOTT ALAN HARTWICH MD, MPH 1972597748
DANA WINDHORST MD 1730228321
DR. JAIME ROJAS M.D. 1346428117
DR. JOSEPH C HUDSON MD 1346406766
JAMES W RAFINER PA-C 1699920066
DR. JACOB HALL M.D. 1942691985
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.