Individual
NANCY EICHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
1101 9TH STREET N, VIRGINIA, MN 55792
(218) 741-0150
Mailing address
1101 9TH STREET N, VIRGINIA, MN 55792
(218) 741-0150
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R120553-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623214100
—
MN
Enumeration date
07/21/2005
Last updated
05/17/2011
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