Individual
MS. KIMBERLY ANN ECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHC NP RNC
Contact information
Practice address
174 S CORONADO DR STE A, SIERRA VISTA, AZ 85635-6356
(520) 545-0676
(520) 547-2993
Mailing address
2424 N WYATT DR STE 260, TUCSON, AZ 85712-6118
(520) 795-0608
(520) 795-0354
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP2960
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP2960
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN149791
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314069
—
AZ
Enumeration date
01/23/2006
Last updated
08/11/2023
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