Provider Demographics
NPI:1396227427
Name:ECKERT JUAREZ, CATHY LYNN (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:LYNN
Last Name:ECKERT JUAREZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:LYNN
Other - Last Name:ECKERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1506 FRANQUETTE AVE
Mailing Address - Street 2:
Mailing Address - City:FARMERSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93223-3036
Mailing Address - Country:US
Mailing Address - Phone:559-280-1260
Mailing Address - Fax:
Practice Address - Street 1:820 S AKERS ST STE 100
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-8306
Practice Address - Country:US
Practice Address - Phone:559-407-0220
Practice Address - Fax:559-754-2887
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95009879363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily