NPI 1518575539 · live from the CMS NPI Registry
Heidi Anne Eikom, RN, PHN
Registered Nurse, General Practice in Parker, AZ. National Provider Identifier 1518575539, active.
NPI record
| NPI | 1518575539 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 12033 Agency Rd, Parker, AZ 85344 |
| Practice phone | 928-669-2137 |
| Enumerated | July 15, 2020 |
| Last updated | July 15, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Nurse Specialist, Community Health/Public Health | 364SC1501X | 84620 (CA) |
| Registered Nurse, General Practice primary | 163WG0000X | 757852 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.