Healthcare Provider Details

I. General information

NPI: 1578077467
Provider Name (Legal Business Name): CURT J ECKSTROM FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2017
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 WISCONSIN AVE NW
WASHINGTON DC
20007-4102
US

IV. Provider business mailing address

2226 WISCONSIN AVE NW
WASHINGTON DC
20007-4102
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1039297
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP1039297
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: