Doctor Name: | JENNIFER ALECSANDRA ECKHARDT |
NPI Number: | 1275662009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 112927 |
Business Practice Address: | 405 Castle Creek Rd Ste 6 Aspen, CO - 816113125 |
Business Phone Number: | 9709205420 |
Business Fax Number: | |
Mailing Address: | 457 Schooner Ln, CARBONDALE |
State: | CO |
Postal Code: | 816238615 |
Phone Number: | 9709205427 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 112927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |