Individual
JENNIFER ALECSANDRA ECKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
405 CASTLE CREEK RD STE 6, ASPEN, CO 81611-3125
(970) 920-5420
Mailing address
457 SCHOONER LN, CARBONDALE, CO 81623-8615
(970) 920-5427
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
112927
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112927
NURSING LICENSE
CO
Enumeration date
03/05/2007
Last updated
07/08/2007
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