Individual
BRAD J EIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, MSN FNP
Contact information
Practice address
359 BEL MARIN KEYS BLVD, NOVATO, CA 94949-5653
(415) 287-0700
Mailing address
877 LONGRIDGE RD, OAKLAND, CA 94610-2451
(510) 508-0788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95014278
CA
363LF0000X
Family Nurse Practitioner
NP95014278
CA
363LG0600X
Gerontology Nurse Practitioner
NP95014278
CA
363LP2300X
Primary Care Nurse Practitioner
NP95014278
CA
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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