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Dagan Randal Eichholz, MSN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Lees Summit, Missouri
NPI 1750881173

Dagan Randal Eichholz is a Psychiatric/Mental Health Nurse Practitioner based in Lees Summit, MO and is specialized in Psychiatric/Mental Health. Dagan Randal Eichholz practices in Lees Summit, MO and has the professional credentials of MSN,PMHNP-BC. The NPI Number for Dagan Randal Eichholz is 1750881173 and holds a License No. 2008003471 (Missouri).

The current practice location address for Dagan Randal Eichholz is 300 Se 2Nd St, Lees Summit, MO and can be reached out via phone at 816-404-6191. You can also correspond with Dagan Randal Eichholz through the mailing address at 300 SE 2ND ST, LEES SUMMIT, MO - 64063-2759 (mailing address contact number: 816-404-6170).

Location: 300 Se 2Nd St, Lees Summit, MO, 64063-2759
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Provider Profile Details
NPI Number
1750881173
Provider Name
Dagan Randal Eichholz
Credential
MSN,PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
300 Se 2Nd St, Lees Summit, MO, 64063-2759
Phone Number
816-404-6191
Fax Number
Provider Enumeration Date
02/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420051522 05 MO
institution
Provider Business Practice Location Address Details
Address
300 Se 2Nd St
City
State
Zip
64063-2759
Phone Number
816-404-6191
Fax Number
person
Provider Business Mailing Address Details
Address
300 Se 2Nd St
City
State
Zip
64063-2759
Phone Number
816-404-6191
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2008003471 (Missouri)
Definition
Definition to come...
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