| Doctor Name: | EILEEN POLT CARPENTER |
| NPI Number: | 1053514711 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP002251G |
| Business Practice Address: | 85 Old Eagle School Rd Strafford, PA - 190872544 |
| Business Phone Number: | 6106883744 |
| Business Fax Number: | 6106884490 |
| Mailing Address: | 85 Old Eagle School Rd, STRAFFORD |
| State: | PA |
| Postal Code: | 190872544 |
| Phone Number: | 6106883744 |
| Fax Number: | 6106884490 |
| NPI Enumeration Date: | 06/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | SP002251G |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |