Provider Demographics
NPI:1588471668
Name:ECKLEY, ANITA MARIE
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:MARIE
Last Name:ECKLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:MARIE
Other - Last Name:MACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:54266 275TH ST
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51571-5065
Mailing Address - Country:US
Mailing Address - Phone:402-610-1291
Mailing Address - Fax:
Practice Address - Street 1:301 CHATEAU DR APT 16
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2159
Practice Address - Country:US
Practice Address - Phone:402-610-1291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant