Provider Demographics
NPI:1154085132
Name:EICHHORST, LACEY (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:LACEY
Middle Name:
Last Name:EICHHORST
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1946 OLD HOT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-0674
Mailing Address - Country:US
Mailing Address - Phone:775-882-1324
Mailing Address - Fax:
Practice Address - Street 1:1946 OLD HOT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-0674
Practice Address - Country:US
Practice Address - Phone:775-882-1324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV846804363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily