Provider Demographics
NPI:1588017073
Name:EICK, JANET (RN)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:EICK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-5725
Mailing Address - Country:US
Mailing Address - Phone:203-722-6732
Mailing Address - Fax:
Practice Address - Street 1:35 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-5725
Practice Address - Country:US
Practice Address - Phone:203-722-6732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY463663163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse