MEDICARE: MRS. VERONICA ANN EICHAKER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP068063	LA

General Provider Information

NPI Number	:	1780689729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VERONICA ANN EICHAKER NP

Provider Business Mailing Address
First Line	:	1601 PERDIDO ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-1262
Country	:	US
Telephone Number	:	504-568-0811
Fax Number	:	504-310-6232

Provider Business Practice Location Address
First Line	:	1601 PERDIDO ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-1262
Country	:	US
Telephone Number	:	504-568-0811
Fax Number	:	504-310-6232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/08/2007

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