Provider Demographics
NPI:1245677988
Name:ECKERT, BELINDA L (APRN)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:L
Last Name:ECKERT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 TREATY RD
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:KS
Mailing Address - Zip Code:67436-9208
Mailing Address - Country:US
Mailing Address - Phone:785-392-4201
Mailing Address - Fax:
Practice Address - Street 1:6750 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5648
Practice Address - Country:US
Practice Address - Phone:785-273-4165
Practice Address - Fax:785-273-4149
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5345320012363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics