Heather Eckenrode, APRN
Nurse Practitioner, Family in Derby, CT. Individual provider (NPI-1).
NPI number1194242008
StatusActive
Last updated in NPPESApr 28, 2022
Details
- NPI
- 1194242008
- Entity type
- Individual (NPI-1)
- Name
- Heather Eckenrode
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2017
- Certification date
- Apr 28, 2022
- Last updated
- Apr 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 9306 | CT | Yes |
| 363LF0000X | Nurse Practitioner, Family | 2295575 | MA |
Other names
- Heather Hunt (Former Name)
Practice location
130 Division StDerby, CT 06418-1326
Phone 203-732-1330
Mailing address
67 Maple AveDerby, CT 06418-1328
Phone 203-732-7325
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Family Nurse Practitioner providers in Derby · All 536 providers in Derby
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