Individual
MRS. DEZRA J EICHHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1120 S. MAIN ST., SUITE C, SEARCY, AR 72143
(501) 230-9181
(501) 268-0134
Mailing address
P.O. BOX 1144, SEARCY, AR 72143
(501) 230-9181
(501) 268-0134
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A01585
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179293758
—
AR
Enumeration date
10/04/2006
Last updated
03/29/2011
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