Provider Demographics
NPI:1689359689
Name:EICHER, SENA RAE ELIZABETH
Entity Type:Individual
Prefix:
First Name:SENA
Middle Name:RAE ELIZABETH
Last Name:EICHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 PINEY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-4416
Mailing Address - Country:US
Mailing Address - Phone:310-882-3145
Mailing Address - Fax:
Practice Address - Street 1:20110 HOPPER ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-2338
Practice Address - Country:US
Practice Address - Phone:402-289-2602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant