Provider Demographics
NPI:1962028209
Name:EICHIN, KATHERINE ANNE (MSN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ANNE
Last Name:EICHIN
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ANNE
Other - Last Name:GEPFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN, CMSRN
Mailing Address - Street 1:915 E STOWELL RD STE C
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-7010
Mailing Address - Country:US
Mailing Address - Phone:805-934-5140
Mailing Address - Fax:
Practice Address - Street 1:145 S GRAY ST STE 201
Practice Address - Street 2:
Practice Address - City:ORCUTT
Practice Address - State:CA
Practice Address - Zip Code:93455-4787
Practice Address - Country:US
Practice Address - Phone:805-934-5140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179539363LF0000X
CA95028642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily