Provider Demographics
NPI:1295454874
Name:ECLIPSE HEALTH SERVICES
Entity type:Organization
Organization Name:ECLIPSE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ZILLAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:MULUBISHA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP/AGNP/CPN
Authorized Official - Phone:763-298-3159
Mailing Address - Street 1:2529 132ND LN NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55448-1205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2529 132ND LN NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55448-1205
Practice Address - Country:US
Practice Address - Phone:763-298-3159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty