TRACEY DIANNE ECKLUND NPI 1811400666

NPI Information

NPI: 1811400666
Provider Name: TRACEY DIANNE ECKLUND
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
2620 RUSSEL LONG BLVD
CANYON, TX
ZIP 79016
Phone: (806) 651-3640
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Tracey Dianne Ecklund is a student in an organized health care education training program in Canyon, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tracey Dianne Ecklund NPI is 1811400666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2620 RUSSEL LONG BLVD
CANYON, TX
ZIP 79016-001
Phone: (806) 651-3640

The enumeration date for this NPI number is 11/14/2017 and was last updated on 11/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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