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Individual

MS. KRISTIN LYNN ECKLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP, BC, RNFA

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW STE 201, ROANOKE, VA 24014-2465
(540) 853-0100
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024167225
VA
363LA2100X
Acute Care Nurse Practitioner
2005-01389
NC
363LA2100X
Acute Care Nurse Practitioner
61944
WV
363LA2100X
Acute Care Nurse Practitioner
AP4242
AZ
363LA2100X
Acute Care Nurse Practitioner
APN0000011834
TN
363LA2100X
Acute Care Nurse Practitioner
PENDING
VI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11834
ADVANCED PRACTICE NURSE
TN
01
140397
RN LICENSE (NP PENDING)
TN
01
2005009361-28
NATIONAL CERTIFICATION
01
61944
NURSING LICENSE/ ADVANCED
WV
01
PENDING
NURSING LICENSE
VI
Enumeration date
12/14/2005
Last updated
01/09/2024
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