Individual
HEIDI ANNE EIKOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3232
Mailing address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3232
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
757852
CA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
84620
CA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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