| Nicholas Conrad Eisemann-astone, PMHNP | |
|
1642 S Priest Dr Ste 101, Tempe, AZ 85281-6204 | |
| (602) 216-7094 | |
| (602) 389-3683 |
| Full Name | Nicholas Conrad Eisemann-astone |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1642 S Priest Dr Ste 101, Tempe, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114633815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 226243 (Arizona) | Primary |
| Entity Name | Terros, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841498060 PECOS PAC ID: 8224077045 Enrollment ID: O20050429000811 |
| Entity Name | Prisma Community Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104929504 PECOS PAC ID: 3678518016 Enrollment ID: O20050625000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Conrad Eisemann-astone, PMHNP 7165 E University Dr Ste 155, Mesa, AZ 85207-6412 Ph: (480) 913-5872 | Nicholas Conrad Eisemann-astone, PMHNP 1642 S Priest Dr Ste 101, Tempe, AZ 85281-6204 Ph: (602) 216-7094 |
Mr. Christopher Ian Earle, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1835 E 6th St, Ste 21, Tempe, AZ 85281 Phone: 480-581-6981 | |
Joan Marie Cobb, MSN, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2163 E Baseline Rd Ste 101, Tempe, AZ 85283 Phone: 480-646-8123 Fax: 480-646-8125 | |
Mrs. Eva Yihui Wang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 E University Dr, Tempe, AZ 85281 Phone: 480-965-3349 Fax: 490-965-9555 | |
Alayna M Despain, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2033 E Warner Rd, Suite 109, Tempe, AZ 85284 Phone: 480-820-5525 Fax: 480-831-6755 | |
Mrs. Jennifer Lindsey Atwood Green, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 S Madison Dr, Tempe, AZ 85281 Phone: 480-784-1514 | |
Molly Ament, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1840 E Broadway Rd, Tempe, AZ 85282 Phone: 602-323-3472 | |
Patricia Ann Faust, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 S Mcclintock Dr, 104, Tempe, AZ 85283 Phone: 480-388-3666 Fax: 480-388-3667 |