Provider Demographics
NPI:1861818783
Name:ECKENSTEIN, ETHEL MURCHISON (MSN, RN, BCHH-C)
Entity Type:Individual
Prefix:
First Name:ETHEL
Middle Name:MURCHISON
Last Name:ECKENSTEIN
Suffix:
Gender:F
Credentials:MSN, RN, BCHH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 W EVANS ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3331
Mailing Address - Country:US
Mailing Address - Phone:843-661-4905
Mailing Address - Fax:843-661-4774
Practice Address - Street 1:1705 W EVANS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3331
Practice Address - Country:US
Practice Address - Phone:843-661-4905
Practice Address - Fax:843-661-4774
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20515163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health