Individual
HOLLY ECKENRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
400 LAKEMONT PARK BLVD STE 100, ALTOONA, PA 16602-5967
(814) 941-8026
(814) 944-7413
Mailing address
400 LAKEMONT PARK BLVD STE 100, ALTOONA, PA 16602-5967
(814) 941-8026
(814) 944-7413
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN261298L
PA
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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