Provider Demographics
NPI:1134334204
Name:ECKSTEIN, BARBARA JEANNE (NP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEANNE
Last Name:ECKSTEIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 HODGEMAN CANYON DR
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-7318
Mailing Address - Country:US
Mailing Address - Phone:406-586-6340
Mailing Address - Fax:
Practice Address - Street 1:931 HIGHLAND BLVD
Practice Address - Street 2:SUITE 3340
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-6911
Practice Address - Country:US
Practice Address - Phone:406-586-5511
Practice Address - Fax:406-586-4713
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN21058363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily