Doctor Name: | MRS. ROSEANN MARIE ECKLUND |
NPI Number: | 1023255569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 084800 |
Business Practice Address: | 912 Ne Kenwood Dr Lees Summit, MO - 640641761 |
Business Phone Number: | 8165039827 |
Business Fax Number: | |
Mailing Address: | 912 Ne Kenwood Dr, LEES SUMMIT |
State: | MO |
Postal Code: | 640641761 |
Phone Number: | 8165039827 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2009 |
NPI Last Update Date: | 01/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 084800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |