Individual
REGINA ECKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6135
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R122563
MD
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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