person
John Tyler Eichenberger, FNP
Family Nurse Practitioner in South Lake Tahoe, California
NPI 1275303075

John Tyler Eichenberger is a Family Nurse Practitioner based in South Lake Tahoe, CA and is specialized in Family. John Tyler Eichenberger practices in South Lake Tahoe, CA and has the professional credentials of FNP. The NPI Number for John Tyler Eichenberger is 1275303075 and holds a License No. 95027787 (California).

The current practice location address for John Tyler Eichenberger is 2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA and can be reached out via phone at 925-822-4292.

Location: 2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA, 96150-6408
person
Provider Profile Details
NPI Number
1275303075
Provider Name
John Tyler Eichenberger
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA, 96150-6408
Phone Number
925-822-4292
Fax Number
Provider Enumeration Date
01/03/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2074 Lake Tahoe Blvd Ste 5
City
State
Zip
96150-6408
Phone Number
925-822-4292
Fax Number
person
Provider Business Mailing Address Details
Address
2074 Lake Tahoe Blvd Ste 5
City
State
Zip
96150-6408
Phone Number
925-822-4292
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95027787 (California)
Definition
Definition to come...
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