Pamela Naomi Eisler-Buntrock, ANP-B C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R118163-0 Issued in MN

Practice address

2925 Chicago Ave
Mail Route 10807
Minneapolis, MN 55407-1321

Phone

(612) 262-4828

Fax

(612) 262-4192

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1245484120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-4828",
            "fax_number": "612-262-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "address_2": "MAIL ROUTE 10807",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-4828",
            "fax_number": "612-262-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISLER-BUNTROCK",
        "first_name": "PAMELA",
        "middle_name": "NAOMI",
        "credential": "ANP-B C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R118163-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Louis Eisenberg, M.D.
• Melissa Eisenbraun
• Melissa L Eisenmenger, PHD, LP
• Thomas Craig Eisenstadt, MD
• Emmanuel David Eisenstein, M.D.
• Katie Eisold
• Mackenzie L Eiter, PA-C
• Eiynck Inc
• August Michael Eiynck
• Ej Haven LLC

• Adult Health Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.