Individual
LIANI ECCLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1034 RSI DR UNIT 120, LOGAN, UT 84321-2203
(435) 512-7825
Mailing address
1638 N 200 W, LOGAN, UT 84341-1900
(435) 994-8693
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7887916-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/30/2021
Last updated
01/08/2024
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