Healthcare Provider Details

I. General information

NPI: 1609271691
Provider Name (Legal Business Name): MARLENE EICHER APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2014
Last Update Date: 05/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3405 NW HUNTERS RIDGE TER STE 100
TOPEKA KS
66618-2510
US

IV. Provider business mailing address

2136 NW 47TH CT
TOPEKA KS
66618-3274
US

V. Phone/Fax

Practice location:
  • Phone: 785-246-3733
  • Fax:
Mailing address:
  • Phone: 785-286-2417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-75409-061
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: