Provider Demographics
NPI:1922277748
Name:EICHENLAUB, GRETCHEN D (RNC, MS, WHNP)
Entity Type:Individual
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First Name:GRETCHEN
Middle Name:D
Last Name:EICHENLAUB
Suffix:
Gender:F
Credentials:RNC, MS, WHNP
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5353 REYNOLDS ST
Mailing Address - Street 2:SUITE NUMBER 300
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6015
Mailing Address - Country:US
Mailing Address - Phone:912-355-4408
Mailing Address - Fax:
Practice Address - Street 1:5353 REYNOLDS ST
Practice Address - Street 2:SUITE NUMBER 300
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6015
Practice Address - Country:US
Practice Address - Phone:912-355-4408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN164522363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health