Provider Demographics
NPI:1942641428
Name:EICHSTEDT, SARAH (NP-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:EICHSTEDT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 CHEVRON WAY
Mailing Address - Street 2:MEDICAL CLINIC, BLDG 60
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-2007
Mailing Address - Country:US
Mailing Address - Phone:510-242-3032
Mailing Address - Fax:510-242-5428
Practice Address - Street 1:841 CHEVRON WAY
Practice Address - Street 2:MEDICAL CLINIC, BLDG 60
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-2007
Practice Address - Country:US
Practice Address - Phone:510-242-3032
Practice Address - Fax:510-242-5428
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23238363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily