Healthcare Provider Details

I. General information

NPI: 1215899554
Provider Name (Legal Business Name): EPPICH NW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 N WHITMAN WAY
WENATCHEE WA
98801-2192
US

IV. Provider business mailing address

3745 LOVELL RD
WENATCHEE WA
98801-9169
US

V. Phone/Fax

Practice location:
  • Phone: 509-942-9333
  • Fax:
Mailing address:
  • Phone: 509-942-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: NATHAN EPPICH
Title or Position: NURSE ANESTHESIOLOGY
Credential: CRNA
Phone: 509-942-9333