| Doctor Name: | DR. RHONDA EICKHOLT |
| NPI Number: | 1043599939 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHAPRN P.C. |
| License Number: | 37331 |
| Business Practice Address: | 3972 Highway 93 North (n.) Suite C Stevensville, MT - 598706494 |
| Business Phone Number: | 4067776958 |
| Business Fax Number: | 4067775869 |
| Mailing Address: | 3972 Highway 93 North (n.), Suite C STEVENSVILLE |
| State: | MT |
| Postal Code: | 598706494 |
| Phone Number: | 4067776958 |
| Fax Number: | 4067775869 |
| NPI Enumeration Date: | 08/09/2011 |
| NPI Last Update Date: | 05/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 37331 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |