Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 4704224783 | MI |
NPI | 1164072773 |
---|---|
Provider Name | Darla Ann Eikelboom |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Big Rapids, MI 49307-2048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2019 |
Last Update Date | 05/03/2021 |