Provider Demographics
NPI:1992164503
Name:EICHHORN, ALEXANDRIA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRIA
Middle Name:
Last Name:EICHHORN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8352 N VIA ROSA
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-2873
Mailing Address - Country:US
Mailing Address - Phone:602-791-8330
Mailing Address - Fax:
Practice Address - Street 1:1212 S GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2792
Practice Address - Country:US
Practice Address - Phone:480-654-8920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8499363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP8499OtherARIZONA STATE BOARD OF NURSING