Individual
MRS. GINA LIANE EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, AGCNS-BC
Contact information
Practice address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 278-9445
Mailing address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 278-9445
Taxonomy
Speciality
Code
Description
License number
State
364SP2800X
Perioperative Clinical Nurse Specialist
Primary
AP61647534
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
03/09/2026
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