Individual
JULIA E ECKARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC FNPC
Contact information
Practice address
1351 JEFFERSON ST, SUITE 120, WASHINGTON, MO 63090-6449
(636) 390-4114
(636) 390-8685
Mailing address
12855 N 40 DR, SUITE 200, SAINT LOUIS, MO 63141-8635
(314) 628-1210
(314) 628-1220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100183
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425899218
—
MO
Enumeration date
10/12/2005
Last updated
09/12/2008
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